CODAC CRANSTON
NPI 1295731321
Clinic/center, Rehabilitation, Substance Use Disorder in Cranston,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 23, 2005

Contact Information

1052 Park Ave
Cranston,
Post Code: 02910
Phone: (401) 461-5056
Fax: (401) 943-2167

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Codac Cranston in Cranston - Clinic/Center, Rehabilitation, Substance Use Disorder

Codac Cranston is a Clinic/Center, Rehabilitation, Substance Use Disorder in Cranston, . Codac Cranston practices all healthcare services and medical treatments related to Clinic/Center, Rehabilitation, Substance Use Disorder. The NPI Number for Codac Cranston is 1295731321. The last update date is 2021-12-21.

Codac Cranston's current location address is 1052 Park Ave, Cranston, . You can contact this provider via phone number (401) 461-5056 and fax number (401) 943-2167. The mailing address for Codac Cranston is 1052 Park Ave, Cranston, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1295731321
Provider Legal Name
CODAC INC
Other Organization Name
CODAC CRANSTON
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
1052 Park Ave, Cranston,
Location Phone
(401) 461-5056
Location Fax
(401) 943-2167
Mailing Address
1052 Park Ave, Cranston, Rhode Island(RI)
Mailing Phone
401-275-5038
Mailing Fax
401-942-3590
Enumeration Date
2005-06-23
Last Update Date
2021-12-21
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center, Methadone Clinic

Taxonomy Code
261QM2800X
Type
-
License No.
605.01
License State
Rhode Island (RI)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 261QR0405X Substance Use Disorder Rehabilitation Clinic/Center

Clinic/Center, Rehabilitation, Substance Use Disorder

605.01 (Rhode Island)
2 276400000X Substance Use Disorder Rehabilitation Hospital Unit

Rehabilitation, Substance Use Disorder Unit

605.1 (Rhode Island)
3 261QP2300X Primary Care Clinic/Center

Clinic/Center, Primary Care

ACF01632-01 (Rhode Island)
4 261QR0405X Substance Use Disorder Rehabilitation Clinic/Center

Clinic/Center, Rehabilitation, Substance Use Disorder

605.1 (Rhode Island)
5 175T00000X Peer Specialist

Peer Specialist

()
6 207QA0401X Addiction Medicine (Family Medicine) Physician

Family Medicine, Addiction Medicine

ACF01632-01 (Rhode Island)
7 251K00000X Public Health or Welfare Agency

Public Health or Welfare

605.1 (Rhode Island)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295731321
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22185143234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22185143234
2 + 2 + 1 + 8 + 5 + 1 + 4 + 3 + 2 + 3 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1295731321 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154324101 GATEWAY HEALTHCARE, INC
Organization
Case Management 249 ROOSEVELT AVE
PAWTUCKET, Rhode Island (RI)
401-724-8400
1245233261 JACK D GOLDSTEIN
Individual
Orthopaedic Surgery 400 MASSASOIT AVE
E PROVIDENCE, Rhode Island (RI)
401-919-5222
1285637256 GABRIELA B MASKO
Individual
Radiology, Radiation Oncology 825 N MAIN ST
PROVIDENCE, Rhode Island (RI)
401-521-9700
1013910074 ROGER L. BROTMAN
Individual
Specialist 825 N MAIN ST
PROVIDENCE, Rhode Island (RI)
401-521-9700
1215930938 CURTIS M WILLIAMS
Individual
Radiology, Diagnostic Ultrasound 38 HAMLET AVE
WOONSOCKET, Rhode Island (RI)
401-762-0020