Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Codac Healthcare, LLC

Organization Multi-Specialty Clinic/Center · NPI 1447944111

Codac Healthcare, LLC is a Multi-Specialty Clinic/Center in Providence, Rhode Island. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

349 Huntington Ave
Providence, RI 02909-3005
Phone: (401) 942-1450
Fax: (401) 946-1550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1447944111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alisha Bourdeau — Cfo · (401) 275-5038
NPI enumeratedJune 6, 2023
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023
Mailing address1052 Park Ave, Cranston, RI 02910-3225

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