GORDON COLLEGE HEALTH CENTER – NPI #1972155422
Clinic/Center

GORDON COLLEGE HEALTH CENTER is an AHC clinic located in WENHAM, MA. NPPES has assigned the NPI number 1972155422 to GORDON COLLEGE HEALTH CENTER on July 15, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GORDON COLLEGE HEALTH CENTER” is a dba name, the actual legal business name for this organization is CONGENIAL HEALTHCARE, LLC. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

The NPI profile was previously updated about 7 years ago on Jul 17, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GORDON COLLEGE HEALTH CENTER below.

NPI Profile for
CONGENIAL HEALTHCARE, LLC

NPI Number
1972155422
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONGENIAL HEALTHCARE, LLC
Doing Business As (dba): GORDON COLLEGE HEALTH CENTER
Primary location
255 GRAPEVINE RD
WENHAM, MA 01984
Phone: (978) 536-0215 Fax: (978) 536-0230
Mailing address
1 ROOSEVELT AVE
PEABODY, MA 01960-2200
Phone: (978) 536-0215 Fax: (978) 536-0230
Organization Subpart
Yes - GORDON COLLEGE HEALTH CENTER is subpart of another organization.
Authorized Official
LISA ENDERLE
ENROLLMENT MANAGER
Phone: (978) 712-1681
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.