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CH011460 LOWELL COMMUNITY HEALTH CENTER, INC. (Active)
Main Details
Name
LOWELL COMMUNITY HEALTH CENTER, INC.
Subdivision Name
ACCOUNTS PAYABLE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009242
340B ID
CH011460
Grant Number
H80CS00397
Contacts
Authorizing Official
Lowell Community Health Center
Timothy Regan, Sr. Dir. Contracts and Compliance
(978) 937-9700
Primary Contact
Lowell Community Health Center
Amy E Sullivan, Senior Director of Pharmacy Services
(802) 304-9436
Additional Details
Current Program Status
Active
Registration Date
4/1/1997
Participating Start Date
4/1/1997
Participating Approval Date
9/30/2004
Last Recertification Date
1/31/2024
Addresses
Street Address
161 Jackson Street
LOWELL, MA 01852-2103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADDRESS CORRECTION; UPDATED CONTACT INFO, MEDICAID NUMBER
09/30/2004
May 2024
May 2024
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