FEDERAL MEDICAL CENTER DEVENS; NPI #1295046647

Contact Information

FEDERAL MEDICAL CENTER DEVENS

42 PATTON RD
AYER, MA 01433

Phone: 978-796-1400
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prison Health	261QP2400X

Indicates primary specialty

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NPI Profile & details for FEDERAL MEDICAL CENTER DEVENS

NPI Number 1295046647

LBN Legal business name FEDERAL MEDICAL CENTER DEVENS

Authorized official ALBERTO BETANCES - (ASSIST HEALTH SERVICE ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/30/2010

Last updated 06/30/2010 - About 16 years ago

Identifiers

MA	License #	PA2382
MA	Other	PA2382	STATE PHYSICIAN ASSISTANT LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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