NPIMap

Organization Active NPI

The Lowell General Hospital

Doing business as Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
National Provider Identifier
1407804669
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2040 Issued in MA
Legal business name
THE LOWELL GENERAL HOSPITAL
Doing business as
Lowell General Hospital
Practice address
295 Varnum Ave
Lowell, MA 01854-2134
Phone
(978) 937-6000
Fax
(978) 788-7822
NPI assigned
May 4, 2006
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CIRCLE HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Green
Title
Evp Chief Financial Officer
Phone
(978) 788-7143

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2040 MA Primary
Institutional Pharmacy 3336I0012X MA0114847 MA

Addresses

Primary practice location

295 Varnum Ave
Lowell, MA 01854-2134

Mailing address

PO Box 1819
Lowell, MA 01853-1819
Phone (978) 937-6000

Other identifiers 3

IdentifierTypeStateIssuer
110026472BMedicaidMA
2242321OtherNCPDP PROVIDER IDENTIFICATION NUMBER
110026472CMedicaidMA

Other names 1

  • LOWELL GENERAL HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071116000320 MA Part A Provider - Hospital 5991602062 Practice locations: Westford, MA; Tewksbury, MA; North Chelmsford, MA; Lowell, MA; Lawrence, MA; Dracut, MA; Chelmsford, MA; North Billerica, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407804669. Details of each certification follow.

Hospital certification: CCN 220063

Legal name
THE LOWELL GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 29, 2009
Beds
158
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 18, 1891 in MA
Enrollment address
295 Varnum Ave
Lowell, MA 18542134
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Lowell General HospitalCCN 220063 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

4 Meeting House Rd
Ste 13
Chelmsford, MA 01824
Phone (978) 323-2829

354 Merrimack St
Ste 1
Lawrence, MA 01843

161 Jackson St
Fl 4
Lowell, MA 01852
Phone (978) 942-2103

2 Hospital Dr
#2
Lowell, MA 01852
Phone (978) 937-6460

100 Milk St
Methuen, MA 01844
Phone (978) 685-0659

203 Turnpike St
#2
North Andover, MA 01845

203 Turnpike St
Fl 2
North Andover, MA 01845
Phone (978) 482-0500

199 Boston Rd
Ste 16
North Billerica, MA 01862

10 Research Pl
Ste 100
North Chelmsford, MA 01863
Phone (978) 275-1350

10 Research Pl
Ste 206
North Chelmsford, MA 01863
Phone (978) 275-1390

600 Clark Rd
#1
Tewksbury, MA 01876
Phone (978) 453-9321

600 Clark Rd
Ste 2A
Tewksbury, MA 01876
Phone (978) 323-7005

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael P Dubuque Individual Corporate OfficerClerk Jan 26, 2021
Raymond Anstiss Individual Corporate OfficerBoard Chair Jan 26, 2021
Corporate Director Jul 1, 2012
William F Wyman Individual Corporate OfficerVP Finance / Treasurer May 1, 2018
Corporate Director Apr 29, 2014
John Carson Individual Corporate Director Apr 25, 2016
Shamim a Dahod Individual Corporate Director May 1, 2013
Zachary Redmond Individual Corporate Officer Jan 1, 2024
W-2 Managing EmployeeChief Legal Officer Jan 1, 2024
John Andrew Devoe Individual Corporate OfficerTreasurer, Evp Chief Financial Jan 1, 2024
W-2 Managing EmployeeChief Financial Officer Jan 1, 2024
Brian L Chapman Individual Corporate Director Jan 25, 2022
Daniel J. Mansur Individual Corporate Director Jul 1, 2012
Circle Health, Inc. Organization, Lowell, MA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2014 100%
Tushar M Patel Individual Corporate Director Apr 25, 2016
Tufts Medicine, Inc Organization, Burlington, MA Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2014 100%
Amy Hoey Individual W-2 Managing Employee Nov 26, 2007
Naomi M Prendergast Individual Corporate OfficerBoard Vice Chair Jan 26, 2021
Corporate Director Apr 25, 2016
Bruce Tyler Robinson Individual Corporate Director Apr 25, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 176

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 176

Affiliated clinicians 869

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 869

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1407804669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1819",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018531819",
            "telephone_number": "978-937-6000",
            "fax_number": "978-788-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542134",
            "telephone_number": "978-937-6000",
            "fax_number": "978-788-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOWELL GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIRCLE HEALTH, INC.",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EVP CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "978-788-7143"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "2040",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "MA",
            "license": "MA0114847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026472B",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2242321",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026472C",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOWELL GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOWELL GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.