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NORTHEAST HOSPITAL CORPORATION NPI 1043328685


NPI Information

NPI: 1043328685
Provider Name: NORTHEAST HOSPITAL CORPORATION

Doing Business As: CENTER FOR HEALTHY AGING

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
480 MAPLE ST
CENTER FOR HEALTHY AGING
DANVERS, MA
ZIP 01923
Phone: (866) 479-3302
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NORTHEAST HOSPITAL CORPORATION is a clinic center in Danvers, MA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NORTHEAST HOSPITAL CORPORATION NPI is 1043328685. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Healthy Aging.

The provider's business location address is:

480 MAPLE ST
CENTER FOR HEALTHY AGING
DANVERS, MA
ZIP 01923-065
Phone: (866) 479-3302
Fax: (978) 921-7048

The provider's authorized official is Denis Conroy .
The authorized official title is Ceo and has the following contact phone number (978) 922-3000.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 11/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterMASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CAP23308MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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