CEDARDALE INC. NPI 1104229574

NPI Information

NPI: 1104229574
Provider Name: CEDARDALE INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 22D2067387

Address:
931 BOSTON RD
HAVERHILL, MA
ZIP 01835
Phone: (978) 373-1596
Get Directions

CEDARDALE INC. is a health service clinic center in Haverhill, MA. CEDARDALE INC. NPI is 1104229574. The provider is registered as an organization entity type.

The provider's business location address is:

931 BOSTON RD
HAVERHILL, MA
ZIP 01835-927
Phone: (978) 373-1596

The provider's authorized official is Judy Wentworth .
The authorized official title is Controller and has the following contact phone number (978) 373-1596.

The CLIA number assigned to this NPI record is 22D2067387 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2014 and was last updated on 12/23/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	000003634	MASSACHUSETTS	Yes

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »