Congenial Healthcare, LLC
Organization Active NPI Student Health Clinic/Center · Wenham, MA
NPI 1972155422 · NPPES record last updated Jul 17, 2019
Key facts
- NPI
- 1972155422
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Student Health Clinic/Center 261QS1000X
- Legal business name
- CONGENIAL HEALTHCARE, LLC
- Practice address
- 255 Grapevine Rd
Wenham, MA 01984 - Phone
- (978) 536-0215
- Fax
- (978) 536-0230
- NPI assigned
- Jul 15, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- CONGENIAL HEALTHCARE, LLC
Authorized official
- Name
- Lisa Marie Enderle
- Title
- Enrollment Manager
- Phone
- (978) 712-1681
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Congenial Healthcare LLC
- Part of
- Congenial Healthcare LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Yes |
Addresses
Primary practice location
255 Grapevine Rd
Wenham, MA 01984
Mailing address
1 Roosevelt Ave
Peabody, MA 01960-2200
Phone (978) 536-0215
Other names
- Gordon College Health Center
Other providers in Wenham, MA
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- Christine M. Williams, PHD, LLC
- Kaitlin Ann Colancecco
- Sarah Collins
- Meredith Conroy
- Carolyn Cwalinski
- David De Baere
- Donald Deblock
- Jennifer Delorenzo
All providers in Wenham, MA · Student Health Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.