CODAC HEALTH, RECOVERY & WELLNESS, INC.


Address: 630 N Alvernon Way, Ste 161, Tucson, AZ 85711-1843
Phone: 5203189222

CODAC HEALTH, RECOVERY & WELLNESS, INC. (NPI# 1174862007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174862007
Entity Type Organization
Organization Name CODAC HEALTH, RECOVERY & WELLNESS, INC.
Other Organization Name CODAC AT ALVERNON
Practice Address 630 N Alvernon Way
Ste 161
Tucson
AZ 85711-1843
Mailing Address 1650 E Fort Lowell Rd
Ste 202
Tucson
AZ 85719-2374
Practice Telephone 5203189222
Practice Fax Number 5203183443
Mailing Telephone 5203274505
Mailing Fax Number 5202021889
Enumeration Date 2013-02-13
Last Update Date 2015-09-25
Authorized Official Name MR. DENNIS REGNIER (CEO)
Authorized Official Telephone 5203274505
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 805051 05

Other Provider/Organization Names

Other Name Type Code
CODAC at Alvernon Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699226068 Codac Health, Recovery & Wellness, Inc. Community Based Residential Treatment Facility, Mental Illness 2482 N Palo Verde Ave, Tucson, AZ 85716-2548 2016-10-20
1255881355 Codac Health, Recovery & Wellness, Inc. Community Based Residential Treatment Facility, Mental Illness 4801 E Helen St, Tucson, AZ 85712-4717 2016-10-12
1518358530 Codac Health, Recovery & Wellness, Inc. Clinic/Center 1600 N Country Club Rd, Tucson, AZ 85716-3119 2015-02-12
1750797692 Codac Health, Recovery & Wellness, Inc. Community Based Residential Treatment Facility, Mental Illness 4758 E Andrew St, Tucson, AZ 85711-6427 2014-07-10
1952685414 Codac Health, Recovery & Wellness, Inc. Clinic/Center 1080 S 10th Ave, Tucson, AZ 85701-2907 2011-10-03
1467475434 Codac Health, Recovery & Wellness, Inc. Clinic/Center 502 N Silverbell Rd, Tucson, AZ 85745-2626 2006-07-25
1730570102 Codac Health, Recovery & Wellness, Inc. Clinic/Center 101 W Irvington Rd, Office 3 A, Tucson, AZ 85714-3050 2015-02-06
1376931493 Codac Health, Recovery & Wellness, Inc. Clinic/Center 1075 E Fort Lowell Rd, Tucson, AZ 85719-2159 2014-12-23
1801207642 Codac Health, Recovery & Wellness, Inc. Clinic/Center 3130 E Broadway Blvd, Tucson, AZ 85716-5863 2014-05-14
1235569328 Codac Health, Recovery & Wellness, Inc. Clinic/Center 2001 W Orange Grove Rd, Ste 416, Tucson, AZ 85704-1139 2013-11-26

Office Location

Street Address 630 N ALVERNON WAY
STE 161
City TUCSON
State AZ
Zip Code 85711-1843

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730189655 James M Gillard Emergency Medicine 630 N Alvernon Way, Suite 250, Tucson, AZ 85711-1843 2005-07-21
1720568223 Mary Elizabeth Hunter Counselor 630 N Alvernon Way, Tucson, AZ 85711-1843 2018-08-15
1770070732 Andrew Ryan Dorsett Registered Nurse 630 N Alvernon Way, Tucson, AZ 85711-1843 2018-04-16
1417463316 Wade Arden Vero Gage Social Worker 630 N Alvernon Way, Tucson, AZ 85711-1843 2017-12-14
1598201295 Jessica Ganz Nurse Practitioner 630 N Alvernon Way, Suite 250, Tucson, AZ 85711-1843 2017-01-18
1396105797 Smsj Tucson Holdings, LLC Radiology 630 N Alvernon Way, Suite 150, Tucson, AZ 85711-1843 2016-02-26
1336556596 Ronald A. Kline, Md., PC Surgery 630 N Alvernon Way, Suite 180, Tucson, AZ 85711-1843 2014-07-18
1639416084 Genoa Healthcare, LLC Pharmacy 630 N Alvernon Way, 1st Fl, Suite 161, Tucson, AZ 85711-1843 2013-01-04
1023308962 El Rio Santa Cruz Neighborhood Health Center, Inc Clinic/Center 630 N Alvernon Way, Tucson, AZ 85711-1843 2011-04-12
1831491059 Karen Lynn Modrzejewski Registered Nurse 630 N Alvernon Way, Tucson, AZ 85711 2010-11-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356959951 Ridgeline Practice Counselor 4625 N Broadway, Suite 105, Tucson, AZ 85711 2020-07-20
1881229946 Famiglia Amore II LLC Assisted Living Facility 632 N. Wilmot, Tucson, AZ 85711 2020-03-10
1992343362 Laurie Anne Mcmahon Family Medicine 899 N. Wilmot, Building B, Tucson, AZ 85711 2019-12-17
1063060093 Sharese Ann Bailey Counselor 300 S Craycroft Rd, Tucson, AZ 85711 2019-09-03
1467940015 Jin Zhang Ophthalmology 655 N Alvernon Way Ste 204, Tucson, AZ 85711 2018-04-30
1447779525 Catherine Butler Hobart Pharmacist 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 2017-09-11
1689196420 Cope Community Services, Inc. Case Management 924 N Alvernon Way, Tucson, AZ 85711 2017-07-13
1124561477 Regina Maendler Behavioral Analyst 630 N. Craycroft Rd, Tucson, AZ 85711 2016-11-18
1881140184 Elleda Linsmeyer Speech-Language Pathologist St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 2016-08-28
1962856260 Csl-tucson, LLC Assisted Living Facility 1020 N. Woodland Avenue, Tucson, AZ 85711 2016-04-22
Find all providers in zip 85711

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093240020 Cottonwood Tucson Outpatient Services Clinic/Center 4110 W Sweetwater Dr Bldg 16, Tucson, AZ 85745-9348 2017-04-27
1760916407 Grace Home Assisted Living 1 Clinic/Center 2301 S Quail Hollow Dr, Tucson, AZ 85710-7986 2017-04-19
1730534405 New Horizons Behavioral Health Services Inc Clinic/Center 5849 E 5th St, Tucson, AZ 85711-2403 2016-04-29
1205293487 Neuropco LLC Clinic/Center 4061 E Via Del Vireo, Tucson, AZ 85718-3311 2016-01-20
1265806186 Banner -- University Medicine Crisis Response Center LLC Clinic/Center 2802 E District St Fl 1, Tucson, AZ 85714-2081 2015-11-16
1457755183 Barrabee Therapy LLC Clinic/Center 2299 W. Camino San Acacio, Tucson, AZ 85741-3696 2014-10-09
1487984720 Desert Milagros, LLC Clinic/Center 3438 N. Country Club Road, Tucson, AZ 85716-1257 2010-01-09
1588814685 Valerie M. Kading, Np, P.l.l.c Clinic/Center 6969 E Sunrise Dr, Suite 202, Tucson, AZ 85750-0720 2008-09-24
1770742959 University Physicians Healthcare Clinic/Center 2800 E. Ajo Way, Tucson, AZ 85713-3204 2008-06-03
1033319751 Codac Behavioral Health Services of Pima County, Inc. Clinic/Center 721 N 4th Ave, Tucson, AZ 85705-8446 2007-07-20
Find all providers in TUCSON

Competitor

Search similar providers

City TUCSON
Zip Code 85711

Improve Information

Please comment or provide details below to improve the information on CODAC HEALTH, RECOVERY & WELLNESS, INC..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches