OWELL HOUSE INC (NPI# 1508013632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508013632 |
Entity Type | Organization |
Organization Name | OWELL HOUSE INC |
Practice Address |
555 Merrimack St Lowell MA 01854-3906 |
Practice Telephone | 9784588656 |
Practice Fax Number | 9789372559 |
Mailing Telephone | 9784588656 |
Mailing Fax Number | 9789372559 |
Enumeration Date | 2008-08-20 |
Last Update Date | 2008-08-20 |
Authorized Official Name | DIANNA CONOLE (ASSISTANT EXEUTIVE DIRECTOR) |
Authorized Official Telephone | 9784598656 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 261Q00000X | Clinic/Center | 021426486 | MA | Ambulatory Health Care Facilities |
Street Address |
555 MERRIMACK ST |
City | LOWELL |
State | MA |
Zip Code | 01854-3906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659566453 | Maria Jo Lucci | Counselor | 555 Merrimack St, Lowell, MA 01854-3906 | 2007-09-14 |
1023559309 | Olivia Echteler | Counselor | 555 Merrimack St, Lowell, MA 01854-3906 | 2017-03-20 |
1023461381 | Amanda Shaw | Social Worker | 555 Merrimack St, Lowell, MA 01854-3906 | 2016-07-21 |
1952783011 | Monica Robbins | Counselor | 555 Merrimack St, Lowell, MA 01854-3906 | 2015-06-25 |
1386025450 | Elena Pineau | Counselor | 555 Merrimack St, Lowell, MA 01854-3906 | 2015-06-15 |
1629459268 | Athena Shea Sweeney | Counselor | 555 Merrimack St, Lowell, MA 01854-3906 | 2015-06-09 |
1659777183 | Philip Hyde | Counselor | 555 Merrimack St, Lowell, MA 01854-3906 | 2014-11-11 |
1942603501 | Angelynn Lindor | Counselor | 555 Merrimack St, Lowell, MA 01854-3906 | 2014-09-26 |
1447664040 | Kerin M Raymond | Counselor | 555 Merrimack St, Lowell, MA 01854-3906 | 2014-06-12 |
1780098244 | Jeffrey Green | Counselor | 555 Merrimack St, Lowell, MA 01854-3906 | 2014-06-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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---|---|---|---|---|
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1568586709 | Latino Health Institute Inc | Clinic/Center | 9 Central Street, Lowell, MA 01852 | 2007-03-16 |
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1801357454 | Kelly Dumay Pogeyed Tuguinay | Clinic/Center | 2 Mcdewell Ave Apt 17, Danvers, MA 01923-3335 | 2019-03-27 |
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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.