# THE COMMONWEALTH OF MASSACHUSETTS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE COMMONWEALTH OF MASSACHUSETTS
- **Other names:** Essex County Sheriff's Dept.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306701248
- **Legal business name:** THE COMMONWEALTH OF MASSACHUSETTS
- **Authorized official:** MR. JASON WILLIAM FARO (ASSISTANT SUPERINTENDENT)
- **Authorized official phone:** (978) 750-1900

## Contact information

- **Practice address:** 20 MANNING AVE, MIDDLETON, MA 01949-9998
- **Practice address phone:** (978) 750-1900
- **Practice address fax:** (978) 750-1998
- **Mailing address:** 20 MANNING AVE, MIDDLETON, MA 01949-9998
- **Mailing address phone:** (978) 750-1900
- **Mailing address fax:** (978) 750-1998

## Taxonomy

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

## Other

- **Enumeration date:** 12/23/2025
- **Last updated:** 12/23/2025