# THE COMMONWEALTH OF MASSACHUSETTS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE COMMONWEALTH OF MASSACHUSETTS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013893007
- **Legal business name:** THE COMMONWEALTH OF MASSACHUSETTS
- **Authorized official:** MICHAEL COLBERT (SUPERINTENDENT)
- **Authorized official phone:** (413) 858-0110

## Contact information

- **Practice address:** 627 RANDALL ROAD, HAMPDEN COUNTY SHERIFFS OFFICE MAIN INSTITUTION, LUDLOW, MA 01056
- **Practice address phone:** (413) 858-0343
- **Practice address fax:** (413) 589-0912
- **Mailing address:** 627 RANDALL ROAD, HAMPDEN COUNTY SHERIFFS OFFICE MAIN INSTITUTION, LUDLOW, MA 01056
- **Mailing address phone:** (413) 858-0343
- **Mailing address fax:** (413) 589-0912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2025
- **Last updated:** 08/14/2025