CODAC HEALTH, RECOVERY & WELLNESS, INC. (NPI# 1730570102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730570102 |
| Entity Type | Organization |
| Organization Name | CODAC HEALTH, RECOVERY & WELLNESS, INC. |
| Other Organization Name | SU VOZ VALE |
| Practice Address |
101 W Irvington Rd Office 3 A Tucson AZ 85714-3050 |
| Mailing Address |
1650 E Fort Lowell Rd Ste 202 Tucson AZ 85719-2374 |
| Practice Telephone | 5204340195 |
| Practice Fax Number | 5204340248 |
| Mailing Telephone | 5203274505 |
| Mailing Fax Number | 5202021889 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-09-25 |
| Authorized Official Name | MR. DENNIS REGNIER (CEO) |
| Authorized Official Telephone | 5203274505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 025729 | 05 |
| Other Name | Type Code |
|---|---|
| Su Voz Vale | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1174862007 | Codac Health, Recovery & Wellness, Inc. | Clinic/Center | 630 N Alvernon Way, Ste 161, Tucson, AZ 85711-1843 | 2013-02-13 |
| Street Address |
101 W IRVINGTON RD OFFICE 3 A |
| City | TUCSON |
| State | AZ |
| Zip Code | 85714-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922025816 | Joy R Mockbee | Family Medicine | 101 W Irvington Rd, Tucson, AZ 85714-3050 | 2006-07-16 |
| 1992358279 | Yadira Mojica-rivera | Dietitian, Registered | 101 W Irvington Rd, Tucson, AZ 85714-3050 | 2019-07-16 |
| 1487146031 | Jessica Borbon | Nurse Practitioner | 101 W Irvington Rd, Tucson, AZ 85714-3050 | 2018-05-30 |
| 1952852808 | Brittney Blais | Nurse Practitioner | 101 W Irvington Rd, Building 10, Tucson, AZ 85714-3050 | 2016-10-16 |
| 1275937823 | El Rio Santa Cruz Neighborhood Health Center | Clinic/Center | 101 W Irvington Rd, Suite #10, Tucson, AZ 85714-3050 | 2014-10-10 |
| 1265844179 | Joshua Ryan Goodman | Family Medicine | 101 W Irvington Rd, Tucson, AZ 85714-3050 | 2014-05-27 |
| 1023457702 | Lori Hill Landes | Family Medicine | 101 W Irvington Rd, Tucson, AZ 85714-3050 | 2013-06-17 |
| 1487091161 | Xuanhuy Ngoc Tran | Family Medicine | 101 W Irvington Rd, Building 10, Tucson, AZ 85714-3050 | 2013-06-04 |
| 1245675537 | Cynthia Carrillo | Family Medicine | 101 W Irvington Rd, Tucson, AZ 85714-3050 | 2013-05-01 |
| 1568782761 | Michael Charles Kushner | Family Medicine | 101 W Irvington Rd, Building #10, Tucson, AZ 85714-3050 | 2010-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093270035 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 101 W Irvington Rd Bldg # 10, Tucson, AZ 85714 | 2019-02-04 |
| 1558868422 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1218 W. Irvington Rd., Ste. 150, Tucson, AZ 85714 | 2018-04-09 |
| 1629525415 | Kayla Iwahashi | Physician Assistant | 2900 E Milber St, Tucson, AZ 85714 | 2016-09-08 |
| 1356790158 | Banner Umc Dpec | Nutritionist | 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 | 2016-06-13 |
| 1811305634 | Johannes Kieding | Social Worker | 3939 S Park Ave Ste 150, Tucson, AZ 85714 | 2014-07-24 |
| 1982962221 | Orthomed, LLC | Clinic/Center | 1010 E. Palmdale St, Suite 130, Tucson, AZ 85714 | 2012-04-24 |
| 1588952089 | Crisis Response Network of Southern Arizona, Inc. | Community/Behavioral Health | 2802 East District Street, Tucson, AZ 85714 | 2011-07-18 |
| 1780904805 | Ana E Araiza Rojas | Dietitian, Registered | 3939 S. Park Ave, Suite 150 Cmg Southwest, Tucson, AZ 85714 | 2010-06-11 |
| 1710117668 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1210 E Pennsylvania St, Tucson, AZ 85714 | 2009-07-24 |
| 1639319049 | Ronnie C William | Internal Medicine | 3950 South Country Club Road, Ste 200, Tucson, AZ 85714 | 2009-02-25 |
| Find all providers in zip 85714 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1245876259 | Bamboo Wellness Pllc | Clinic/Center | 5151 E Broadway Blvd Ste 720, Tucson, AZ 85711-3783 | 2019-11-25 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1174997092 | Banner -- University Medicine Crisis Response Center LLC | Clinic/Center | 2802 E District St Fl 2, Tucson, AZ 85714-2081 | 2015-11-16 |
| 1295129823 | Terros, Inc. | Clinic/Center | 3385 N Campbell Ave, Tucson, AZ 85719-2306 | 2015-03-20 |
| 1518358530 | Codac Health, Recovery & Wellness, Inc. | Clinic/Center | 1600 N Country Club Rd, Tucson, AZ 85716-3119 | 2015-02-12 |
| 1053524348 | Pasadera Behavioral Health Network, Inc. | Clinic/Center | 2502 N. Dodge Blvd., Suite 190, Tucson, AZ 85716-2675 | 2007-05-07 |
| 1356482236 | Maple Star Nevada | Clinic/Center | 100 Washington St. Ste 350, Tucson, AZ 85711 | 2007-02-12 |
| 1659432763 | Adaptive Living Institute | Clinic/Center | 434 E 9th St, Tucson, AZ 85705-8580 | 2006-12-12 |
| Find all providers in TUCSON | ||||
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| 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.