Lowell Community Health Center, Inc.
Organization Active NPI Community/Retail Pharmacy · Lowell, MA
NPI 1295587368 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1295587368
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- LOWELL COMMUNITY HEALTH CENTER, INC.
- Practice address
- 161 Jackson St Ste 135
Lowell, MA 01852-2103 - Phone
- (978) 937-9700
- NPI assigned
- Apr 3, 2024
- Organization subpart
- No
Authorized official
- Name
- Susan West Levine
- Title
- Ceo
- Phone
- (978) 746-7851
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Practitioners 138
-
Tinamarie Adly, NP
-
Muthulakshimi Arumugam, MSN, FNP
-
Zainab Basheer, M.D.
-
Margaret Burke Regan, APRNCS
-
Stephen Paul Carroll, LICSW
-
Megan Compiano, B.A
-
Briana Cordova, LCSW
-
Julianne D'Ambrosio, FNP-BC
-
Simone De Oliveira, FNP
-
Deepthi Desai, MD
-
Vidhi K Desai, FNP-BC
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lowell Community Health Center, Inc |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250728000937 | MA | Part B Supplier - Pharmacy | 6204807944 | Practice locations: Lowell, MA |
| O20250820002717 | MA | DME Supplier - Pharmacy | 6204807944 | Practice locations: Lowell, MA |
National Provider Directory
- Tax ID family
- Lowell Community Health Center Inc
Locations
161 Jackson St
Ste 135
Lowell, MA 01852
Phone (978) 805-1004
17 Warren St
Lowell, MA 01852
Phone (978) 446-0788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
161 Jackson St Ste 135
Lowell, MA 01852-2103
Mailing address
161 Jackson St Ste 135
Lowell, MA 01852-2103
Phone (978) 937-9700
Other names
- Lowell Community Health Center, Inc.
Other providers in Lowell, MA
- Lowell Anesthesia Associates LLC
- Lowell Anesthesia Associates PLLC
- Lowell Anesthesiology Service, Inc.
- Lowell Anesthesiology Service, Inc.
- Lowell Community Charter Public SCH
- Lowell Community Health Center, Inc.
- Lowell Community Health Center, Inc.
- Lowell Community Health Center, Inc.
- Lowell Community Health Center, Inc.
- Lowell Dentistry and Braces, PC
All providers in Lowell, MA · Community/Retail Pharmacy in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.