# NORTHEAST HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Healthy Aging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043328685
- **Authorized official:** MR. DENIS CONROY (CEO)
- **Authorized official phone:** (978) 922-3000

## Contact information

- **Practice address:** 480 MAPLE ST, CENTER FOR HEALTHY AGING, DANVERS, MA 01923-4065
- **Practice address phone:** (866) 479-3302
- **Practice address fax:** (978) 921-7048
- **Mailing address:** 85 HERRICK STREET, MEDICAL STAFF OFFICE, BEVERLY, MA 01915
- **Mailing address phone:** (978) 922-3000
- **Mailing address fax:** (978) 921-7048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | MA | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 11/12/2014
