Healthcare Provider Details

I. General information

NPI: 1043364482
Provider Name (Legal Business Name): CHILDREN'S HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 LOW ST
NEWBURYPORT MA
01950-3556
US

IV. Provider business mailing address

257 LOW ST
NEWBURYPORT MA
01950-3556
US

V. Phone/Fax

Practice location:
  • Phone: 978-462-9311
  • Fax:
Mailing address:
  • Phone: 978-465-7121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number055212
License Number StateMA

VIII. Authorized Official

Name: JANELLE MORLEY
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 978-462-9311