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Contact Information

THE COMMONWEALTH OF MASSACHUSETTS
200 WEST STEET
DEDHAM, MA02026
 Phone: 781-239-3705
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prison Health

261QP2400X
Indicates primary specialty

NPI Profile & details for THE COMMONWEALTH OF MASSACHUSETTS

NPI # 1982580502
LBN Legal business name THE COMMONWEALTH OF MASSACHUSETTS
Authorized official PATRICK MCDERMATT - (SHERIFF, NORFOLK COUNTY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/12/2025
Last updated 08/12/2025 - About 10 months ago
Identifiers n/a
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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