Provider Demographics
NPI:1013983287
Name:DO NOT USE - THE LOWELL GENERAL HOSPITAL
Entity Type:Organization
Organization Name:DO NOT USE - THE LOWELL GENERAL HOSPITAL
Other - Org Name:DO NOT USE
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-788-7143
Mailing Address - Street 1:1 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1311
Mailing Address - Country:US
Mailing Address - Phone:978-458-1411
Mailing Address - Fax:978-458-8369
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1311
Practice Address - Country:US
Practice Address - Phone:978-458-1411
Practice Address - Fax:978-458-8369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2040282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000020554OtherBOSTONHEALTHNET
MASTJ2222004501OtherBLUE CROSS IP#
MA10430OtherCIGNA HEALTHCARE
MA1099833Medicaid
MA12277OtherFALLON COMMUNITY HEALTH
MA796295OtherNETWORK HEALTH CARE
MD903005OtherHARVARD PILGRIM HC
MAAETNA USHOtherAETNA US HEALTHCARE
MA0008240OtherNEIGHBORHOD HEALTH PLAN
MA105255OtherMAGELLAN BEHAVIORAL CARE
MA1201743Medicaid
MA5000070OtherEVERCARE
MA902849OtherTUFTS HEALTH PLAN IP
MASTJ2222004510OtherBLUE CROSS OP#
MA10430OtherCIGNA HEALTHSOURCE
STJ2222004530OtherBLUE CROSS SDC#
MA902849OtherBRIGHTON MARINE IP#
MA902850OtherBRIGHTON MARINE OP#
MD903005OtherHARVARD PILGRIM HC