GREATER LAWRENCE FAMILY HEALTH CENTER, INC. (NPI# 1255630448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255630448 |
Entity Type | Organization |
Organization Name | GREATER LAWRENCE FAMILY HEALTH CENTER, INC. |
Practice Address |
57 River Rd Andover MA 01810-1144 |
Practice Telephone | 9786868521 |
Practice Fax Number | 9786868594 |
Mailing Telephone | 9786868521 |
Mailing Fax Number | 9786868594 |
Enumeration Date | 2011-03-28 |
Last Update Date | 2020-04-28 |
Authorized Official Name | KARIN BERNARD (CREDENTIALING MANAGER) |
Authorized Official Telephone | 9786896683 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
4943 | MA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1303775 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851504963 | Greater Lawrence Family Health Center, Inc. | Clinic/Center | 73d Winthrop Ave, Plaza 114, Lawrence, MA 01843 | 2007-05-07 |
1912266065 | Greater Lawrence Family Health Center, Inc. | Clinic/Center | 147 Pelham St, Methuen, MA 01844-2060 | 2012-05-10 |
1013284843 | Greater Lawrence Family Health Center, Inc. | Clinic/Center | 1 General St, Lamprey Building, 4th Floor, Lawrence, MA 01841-2961 | 2011-11-22 |
1518153691 | Greater Lawrence Family Health Center, Inc. | Clinic/Center | 34 Haverhill St, Lawrence, MA 01841-2884 | 2007-09-21 |
1306989702 | Greater Lawrence Family Health Center, Inc. | Pharmacy | 34 Haverhill St, Lawrence, MA 01841-2884 | 2007-02-15 |
1699774646 | Greater Lawrence Family Health Center, Inc. | Clinic/Center | 34 Haverhill St, Lawrence, MA 01841-2884 | 2005-07-20 |
Street Address |
57 RIVER RD |
City | ANDOVER |
State | MA |
Zip Code | 01810-1144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821131749 | Elane Dorothy Lee | Nurse Practitioner | 57 River Rd, Andover, MA 01810-1144 | 2007-02-14 |
1699242198 | Jane Marie Bailey | Social Worker | 57 River Rd, Andover, MA 01810-1144 | 2018-11-01 |
1891105979 | Meagan Foley | Specialist/Technologist | 57 River Rd, Andover, MA 01810-1144 | 2014-04-29 |
1760624118 | Merrimack Valley Nutrition Project | Home Delivered Meals | 57 River Rd, Andover, MA 01810-1144 | 2009-04-01 |
1356472179 | Greater Lawrence Technical High School | Local Education Agency (LEA) | 57 River Rd, Andover, MA 01810-1144 | 2007-03-07 |
1164552360 | Lisa Howe | Nurse Practitioner | 57 River Rd, Andover, MA 01810-1144 | 2007-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
Find all providers in zip 01810 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821295387 | Primary Health Network | Clinic/Center | 5594 State Route 7, Andover, OH 44003-9490 | 2007-06-28 |
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1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
1942663851 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 461 Walnut Ave, Jamaica Plain, MA 02130 | 2016-03-30 |
1497148407 | Brockton Neighborhood Health Center | Clinic/Center | 158 Pleasant Street, Brockton, MA 02301 | 2015-03-16 |
1053729426 | Community Health Connections, Inc. | Clinic/Center | 140 Arnhow Farm Road, Fitchburg, MA 01420-1369 | 2014-07-29 |
1689092595 | Lowell Community Health Center, Inc. | Clinic/Center | 101 Jackson St, Lowell, MA 01852-2103 | 2014-03-29 |
1912272899 | Community Health Programs, Inc | Clinic/Center | 19 Depot Street, Adams, MA 01220 | 2012-03-12 |
1225323777 | Family Health Center of Worcester, Inc. | Clinic/Center | 14 Richards St, Goddard Health Center, Worcester, MA 01603-2609 | 2011-06-13 |
1801181334 | Family Health Center of Worcester, Inc. | Clinic/Center | 140 Apricot St, Sullivan Middle Health Center, Worcester, MA 01603-1225 | 2011-06-13 |
1720373251 | Family Health Center of Worcester, Inc. | Clinic/Center | 299 Highland St, Doherty School Based Health Center, Worcester, MA 01602-2110 | 2011-06-13 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.