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CH01146P LOWELL COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
LOWELL COMMUNITY HEALTH CENTER, INC.
Subdivision Name
The Community Family
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017409
340B ID
CH01146P
Grant Number
H80CS00397
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/11/2016
Last Recertification Date
2/26/2019
Termination Date
Termination Reason
4/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Lowell Community Health Center
Henry Och, Chief of Operations
(978) 322-8519
Primary Contact
Lowell Community Health Center
Robin Licata, Director of Financial Operations
(978) 322-8593
Addresses
Street Address
236 Broadway Street
Lowell, MA 01854-4161
Billing Address
Lowell Community Health Center
161 Jackson Street
Lowell, MA 01852-2103
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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