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DSH220063 THE LOWELL GENERAL HOSPITAL (Active)
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Main Details
Name
THE LOWELL GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220063
Medicare Provider Number
220063
Additional Details
Current Program Status
Active
Registration Date
10/23/2007
Participating Start Date
4/1/2004
Participating Approval Date
10/23/2007
Last Recertification Date
9/12/2024
Contacts
Authorizing Official
Tufts Medicine Lowell General Hospital
Keary Allicon, Sr. Director of Finance
(978) 937-6353
Primary Contact
Lowell General
Eric Musial, Director of Pharmacy Services
(978) 937-6416
Addresses
Street Address
295 VARNUM AVENUE
LOWELL, MA 01854
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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