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DSH220063A THE LOWELL GENERAL HOSPITAL (Terminated)
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Main Details
Name
THE LOWELL GENERAL HOSPITAL
Subdivision Name
THE SURGERY CENTER AT DRUM HILL
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220063A
Medicare Provider Number
220063
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/23/2007
Participating Start Date
7/1/2004
Participating Approval Date
10/23/2007
Last Recertification Date
8/26/2020
Termination Date
Termination Reason
10/1/2021
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
TuftsMedicine
William F Wyman, SVP of Operations & Treasurer
(978) 937-6034
Primary Contact
Lowell General
Eric Musial, Director of Pharmacy Services
(978) 937-6416
Addresses
Street Address
10 RESEARCH PLACE
NORTH CHELMSFORD, MA 01863
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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