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DSH220010 LAWRENCE GENERAL HOSPITAL (Active)
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Main Details
Name
LAWRENCE GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220010
Medicare Provider Number
220010
Additional Details
Current Program Status
Active
Registration Date
4/21/2008
Participating Start Date
7/1/2004
Participating Approval Date
4/21/2008
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Lawrence General Hospital
Robin Hynds, Chief Operating Officer
(978) 946-8264
Primary Contact
Lawrence General Hospital
Timothy Keaney, Pharmacy Director
(978) 683-4000 Ext: 2247
Addresses
Street Address
1 GENERAL STREET
LAWRENCE, MA 01841
Billing Address
LAWRENCE GENERAL HOSPITAL
1 GENERAL STREET
LAWRENCE, MA 01841
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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