| Lowell House, Inc | |
|
101 Jackson St Fl 4 Lowell MA 01852-2103 | |
| (978) 459-8656 | |
| (978) 937-2559 |
| Full Name | Lowell House, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Jackson St Fl 4, Lowell, Massachusetts |
| Authorized Official Name and Position | Nancy Van Alst (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9784598656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowell House, Inc 101 Jackson St Fl 4 Lowell MA 01852-2103 Ph: (978) 459-8656 | Lowell House, Inc 101 Jackson St Fl 4 Lowell MA 01852-2103 Ph: (978) 459-8656 |
| NPI Number | 1407991409 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407991409 | NPI | - | NPPES |
| 1307703 | Medicaid | MA | |
| 1004200 | Medicaid | MA | |
| 988263 | Medicaid | MA | |
| LOW2223021540 | Other | MA | BLUE CROSS BLUE SHIELD |
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