The Commonwealth of Massachusetts
NPI #1376411165 in West Boylston, Massachusetts
Provider Information
- NPI Number
- 1376411165
- Entity Type
- Organization
- Organization Name
- The Commonwealth of Massachusetts
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE COMMONWEALTH OF MASSACHUSETTS
- Primary Specialty
- Clinic/Center - Prison Health
- Enumeration Date
- Oct 24, 2025
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 5 PAUL X. TIVNAN DRIVE
- City
- West Boylston
- State
- Massachusetts
- ZIP Code
- 01583
- Phone
- (508) 854-1800
Authorized Official
- Name
- MR. JASON RIVES
- Title
- SUPERINTENDENT/CFO
- Phone
- (508) 854-1809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Prison Health — Prison Health |
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