| Lowell Community Health Center, Inc. | |
|
101 Jackson St Lowell MA 01852-2103 | |
| (978) 441-1700 | |
| Not Available |
| Full Name | Lowell Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Jackson St, Lowell, Massachusetts |
| Authorized Official Name and Position | Susan West Levine (CEO) |
| Authorized Official Contact | 9783228590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowell Community Health Center, Inc. 161 Jackson St Lowell MA 01852-2103 Ph: () - | Lowell Community Health Center, Inc. 101 Jackson St Lowell MA 01852-2103 Ph: (978) 441-1700 |
| NPI Number | 1689092595 |
|---|---|
| Provider Enumeration Date | 03/29/2014 |
| Last Update Date | 09/10/2018 |
| Medicare PECOS PAC ID | 6204807944 |
|---|---|
| Medicare Enrollment ID | O20041028000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689092595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4VAC (Massachusetts) | Primary |
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