CODAC AT ALVERNON
NPI 1174862007
Clinic/Center - Adult Mental Health in Tucson, AZ

NPI Status: Active since February 13, 2013

Contact Information

630 N ALVERNON WAY
STE 161
TUCSON, AZ
ZIP 85711
Phone: (520) 318-9222
Fax: (520) 318-3443

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About CODAC AT ALVERNON

This page provides the complete NPI Profile along with additional information for Codac At Alvernon, a provider established in Tucson, Arizona operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1174862007 assigned on February 2013. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Codac At Alvernon. The authorized official of this NPI record is Mr. Dennis Regnier (Ceo)

NPI
1174862007
Provider Legal Name
CODAC HEALTH, RECOVERY & WELLNESS, INC.
Other Organization Name
CODAC AT ALVERNON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
630 N ALVERNON WAY STE 161 TUCSON, AZ 85711
Location Phone
(520) 318-9222
Location Fax
(520) 318-3443
Mailing Address
1650 E FORT LOWELL RD STE 202 TUCSON, AZ 85719
Mailing Phone
(520) 327-4505
Mailing Fax
(520) 318-3443
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2013
Last Update Date
09-25-2015
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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 Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DENNIS REGNIER

Authorized Official Title
CEO
Authorized Official Phone
(520) 327-4505

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
805051MEDICAID (05)AZ 

Reviews for CODAC AT ALVERNON

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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.
1174862007
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144166400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 6 + 4 + 0 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1174862007 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447235841DR. LINDA L GRANATH M.D.
Individual
Family Medicine630 N ALVERNON WAY #251
TUCSON, AZ 85711
(520) 322-8460
1083699839DR. CHUN WAH HO M.D.
Individual
Internal Medicine630 N ALVERNON WAY #251
TUCSON, AZ 85711
(520) 322-8460
1871579904 ROBERT E ROGERS JR. MD
Individual
Internal Medicine630 N ALVERNON WAY #251
TUCSON, AZ 85711
(520) 322-8460
1750360194DR. STEVEN D VIG M.D.
Individual
Internal Medicine630 N ALVERNON WAY #251
TUCSON, AZ 85711
(520) 322-8460
1003896192 SHELDON E GINGERICH MD
Individual
Pain Medicine (Pain Medicine)630 N ALVERNON WAY
TUCSON, AZ 85711
(520) 322-8440
1851369441DR. RICHARD JAMES SOLYN D.O.
Individual
Obstetrics & Gynecology (Gynecology)630 N ALVERNON WAY SUITE 251
TUCSON, AZ 85711
(520) 322-8460
1740236843MS. SANDRA M JANSEN PA-C
Individual
Physician Assistant630 N ALVERNON WAY STE 371
TUCSON, AZ 85711
(520) 319-3956
1679512933 TIMOTHY J SHORT DPM
Individual
Podiatrist (Foot Surgery)630 N ALVERNON WAY #251-C
TUCSON, AZ 85711
(520) 319-3283
1629233978SOUTHERN ARIZONA RHEUMATOLOGY ASSOCIATES LLC
Organization
Internal Medicine (Rheumatology)630 N ALVERNON WAY SUITE 371
TUCSON, AZ 85711
(520) 873-6958
1346560711SOUTHERN ARIZONA RHEUMATOLOGY
Organization
Durable Medical Equipment & Medical Supplies (Customized Equipment)630 N ALVERNON WAY SUITE 371
TUCSON, AZ 85711
(520) 319-3956
1093884090CARONDELET HEALTH NETWORK
Organization
Clinic/Center (Radiology, Mammography)630 N ALVERNON WAY
TUCSON, AZ 85711
(520) 873-3000
1033306584 JEREMY GLENN MILLIGAN PA-C
Individual
Physician Assistant (Medical)630 N ALVERNON WAY SUITE 250
TUCSON, AZ 85711
(520) 647-8854
1245312289DR. MARIA TERESA ROBINSON MD
Individual
Emergency Medicine630 N ALVERNON WAY SUITE 250
TUCSON, AZ 85711
(520) 647-8854
1538169172DR. DAVID J LANE M.D.
Individual
Emergency Medicine630 N ALVERNON WAY SUITE 250
TUCSON, AZ 85711
(520) 647-8854
1205813516DR. CHRISTOPHER MICHAEL UNTCH M.D.
Individual
Orthopaedic Surgery630 N ALVERNON WAY SUITE 351
TUCSON, AZ 85711
(520) 881-2600
1841290590DR. ROBERT J KINGSTON M.D.
Individual
Emergency Medicine630 N ALVERNON WAY SUITE 250
TUCSON, AZ 85711
(520) 647-8854
1740280247DR. DUNCAN C SAUER M.D.
Individual
Emergency Medicine630 N ALVERNON WAY SUITE 250
TUCSON, AZ 85711
(520) 647-8854
1568411312DR. HEETEN JAYENDRA DESAI M.D
Individual
Emergency Medicine630 N ALVERNON WAY SUITE 250
TUCSON, AZ 85711
(520) 647-8854
1730189655DR. JAMES M GILLARD M.D.
Individual
Emergency Medicine630 N ALVERNON WAY SUITE 250
TUCSON, AZ 85711
(520) 647-8854
1932308970 CHRISTINE M VICARY MD
Individual
Emergency Medicine630 N ALVERNON WAY SUITE 250
TUCSON, AZ 85711
(520) 647-8854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174862007, enumerated in the NPI registry as an "organization" on February 13, 2013

The provider is located at 630 N Alvernon Way Ste 161 Tucson, Az 85711 and the phone number is (520) 318-9222

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 13, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.