Organization · Type 2 NPI

Congenial Healthcare, LLC

Student Health Clinic/Center · Wenham, MA

NPI number 1972155422 Active

Practice location

255 Grapevine Rd
Wenham, MA 01984

Call (978) 536-0215 Map

Fax (978) 536-0230

Mailing address

1 Roosevelt Ave
Peabody, MA 01960-2200

Specialties and licenses

Taxonomy	Code	License
Student Health Clinic/Center Primary	261QS1000X	None listed

Student Health Clinic/Center: Definition to come...

26 other providers at this address

NPI record

NPI: 1972155422
Entity type: Organization (Type 2)
Issued: Jul 15, 2019
Last updated: Jul 17, 2019
Status: Active
Subpart: Yes of Congenial Healthcare, LLC

Other names

<unavail>
Gordon College Health Center · doing business as
Gordon College Health Center · doing business as

Authorized official

Lisa Marie Enderle
Enrollment Manager
(978) 712-1681

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972155422

Congenial Healthcare, LLC's National Provider Identifier is 1972155422, issued on Jul 15, 2019. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Wenham, MA. The record was last updated on Jul 17, 2019.