1013983287 NPI number — DO NOT USE - THE LOWELL GENERAL HOSPITAL

Table of content: (NPI 1013983287)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013983287 NPI number — DO NOT USE - THE LOWELL GENERAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DO NOT USE - THE LOWELL GENERAL HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DO NOT USE
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013983287
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/04/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 HOSPITAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOWELL
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01852-1311
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-458-1411
Provider Business Mailing Address Fax Number:
978-458-8369

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOWELL
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01852-1311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-458-1411
Provider Business Practice Location Address Fax Number:
978-458-8369
Provider Enumeration Date:
02/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GREEN
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
978-788-7143

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  2040 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000020554 . This is a "BOSTONHEALTHNET" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: STJ2222004501 . This is a "BLUE CROSS IP#" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 10430 . This is a "CIGNA HEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1099833 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 12277 . This is a "FALLON COMMUNITY HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 796295 . This is a "NETWORK HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 903005 . This is a "HARVARD PILGRIM HC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: AETNA USH . This is a "AETNA US HEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0008240 . This is a "NEIGHBORHOD HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 105255 . This is a "MAGELLAN BEHAVIORAL CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1201743 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5000070 . This is a "EVERCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 902849 . This is a "TUFTS HEALTH PLAN IP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: STJ2222004510 . This is a "BLUE CROSS OP#" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 10430 . This is a "CIGNA HEALTHSOURCE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: STJ2222004530 . This is a "BLUE CROSS SDC#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 902849 . This is a "BRIGHTON MARINE IP#" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 902850 . This is a "BRIGHTON MARINE OP#" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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