| Greater Lawrence Family Health Center Inc | |
|
755 Main St Haverhill MA 01830-2166 | |
| (978) 686-0090 | |
| Not Available |
| Full Name | Greater Lawrence Family Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 755 Main St, Haverhill, Massachusetts |
| Authorized Official Name and Position | Karin Bernard (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9786896683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Lawrence Family Health Center Inc 1 Griffin Brook Dr Methuen MA 01844-1865 Ph: (978) 686-0090 | Greater Lawrence Family Health Center Inc 755 Main St Haverhill MA 01830-2166 Ph: (978) 686-0090 |
| NPI Number | 1003437344 |
|---|---|
| Provider Enumeration Date | 04/28/2020 |
| Last Update Date | 04/28/2020 |
| Medicare PECOS PAC ID | 0446221956 |
|---|---|
| Medicare Enrollment ID | O20201119002347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003437344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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