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Codac Inc

Methadone Clinic in Pawtucket, RI · enumerated 2019 · authorized official Alisha Bourdeau, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629632609

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Registry record

Entity type Organization (Type 2)
Legal business name Codac Inc
Practice address 600 Pawtucket Ave, Pawtucket, RI, 02860
Phone (401) 808-6278
Fax (401) 808-6957
Enumeration date Apr 25, 2019
Last updated in NPPES Dec 21, 2021

Taxonomy & classification

175T00000X Peer Specialist Other Service Providers Secondary
251K00000X Public Health or Welfare Agency Agencies Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0400X Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary
261QM2800X Methadone Clinic Ambulatory Health Care Facilities Primary

Authorized official

Name Alisha Bourdeau
Title Cfo
Phone (401) 275-5038

Other identifiers

Identifier Type State Issuer
CO71983 Medicaid RI —

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Codac Inc?
NPPES lists Alisha Bourdeau (Cfo) as the authorized official for this organization.
What is the NPI number for Codac Inc?
The NPI for Codac Inc is 1629632609, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-21.