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Organization

Codac Inc

NPI Record: ActiveClinic/Center — Methadone
NPI1558712034
Providence, Rhode Island

Provider's NPPES record last updated: April 25, 2019

Overview

Entity Type
Organization
NPI
1558712034
Primary Specialty
Clinic/Center — Methadone
Practice Location
Providence, Rhode Island
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 4:43 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Clinic/Center

    Methadone

    Ambulatory Health Care Facilities

    Primary

    An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

    Taxonomy code 261QM2800X
  • Peer Specialist

    Other Service Providers

    Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

    Taxonomy code 175T00000X
  • Public Health or Welfare

    Agencies

    Definition to come...

    Taxonomy code 251K00000X
  • Clinic/Center

    Health Service

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QH0100X
  • Clinic/Center

    Primary Care

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QP2300X
  • Clinic/Center

    Rehabilitation, Substance Use Disorder

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QR0405X
  • Rehabilitation, Substance Use Disorder Unit

    Hospital Units

    A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

    Taxonomy code 276400000X

Provider-Reported License Information

Clinic/Center (Rhode Island)
605.07
Public Health or Welfare (Rhode Island)
605.07
Clinic/Center (Rhode Island)
605.07
Clinic/Center (Rhode Island)
ACF01632
Clinic/Center (Rhode Island)
605.07
Rehabilitation, Substance Use Disorder Unit (Rhode Island)
605.07
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

528 N Main St

Providence, Rhode Island 02904-5757

Phone: (401) 808-4278

Other Names

  • Codac North MainReported April 25, 2019
  • Codac North MainReported June 27, 2016

Record Information

Enumeration Date
June 27, 2016
Provider's NPPES Record Last Updated
April 25, 2019
NPISignal NPPES Dataset
August 2026

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