340B Drug Pricing Program Database

Name

LOWELL COMMUNITY HEALTH CENTER

Subdivision Name

Metta Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-004565

340B ID

CH01146D

Grant Number

H80CS00397

Current Program Status

Terminated

Registration Date

10/1/2004

Participating Start Date

10/1/2004

Participating Approval Date

9/30/2004

Last Recertification Date

2/8/2018

Termination Date
Termination Reason

7/1/2018
Other

Authorizing Official

Lowell Community Health Center
Robert Ebersole, CFO
(978) 322-8596

Primary Contact

Lowell Community Health Center
Robin Licata, Director of Financial Operations
(978) 322-8593

Street Address

135 JACKSON STREET
LOWELL, MA 01852

Billing Address

LOWELL COMMUNITY HEALTH CENTER/ATTN: ACCOUNTS PAYABLE
161 Jackson Street
Lowell, MA 01852