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NPI Code Detail

MEDICARE: GREATER LAWRENCE FAMILY HEALTH CENTER, INC.

MEDICARE: GREATER LAWRENCE FAMILY HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)4943MA

General Provider Information

NPI Number : 1912266065
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER LAWRENCE FAMILY HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 1 GRIFFIN BROOK PARK DR
Second Line :
City : METHUEN
State : MA
Zip : 01844-1865
Country : US
Telephone Number : 978-686-0090
Fax Number :
Provider Business Practice Location Address
First Line : 147 PELHAM ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-2060
Country : US
Telephone Number : 978-683-3491
Fax Number : 978-683-3058
Authorized Official
Title or Position : DIRECTOR, MSO
Name : KARIN BERNARD
Credential :
Telephone Number : 978-689-6683
Provider Enumeration Date : 05/10/2012
Last Update Date : 10/06/2025

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Directions to “GREATER LAWRENCE FAMILY HEALTH CENTER, INC. ” Practice Location

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