Organization
LOWELL COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WEST LEVINE (CEO)
(978) 937-9700
Entity
Organization
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 322-8590
(978) 453-8043
Mailing address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 322-8590
(978) 453-8043
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
4VAC
MA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
4VAC
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305557
—
MA
05
—
1306588
—
MA
Enumeration date
06/28/2005
Last updated
05/21/2024
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