# THE COMMONWEALTH OF MASSACHUSETTS

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

## Provider details

- **NPI number:** 1376411165
- **Legal business name:** THE COMMONWEALTH OF MASSACHUSETTS
- **Authorized official:** MR. JASON RIVES (SUPERINTENDENT/CFO)
- **Authorized official phone:** (508) 854-1809

## Contact information

- **Practice address:** 5 PAUL X. TIVNAN DRIVE, WEST BOYLSTON, MA 01583
- **Practice address phone:** (508) 854-1800
- **Practice address fax:** (508) 854-1787
- **Mailing address:** 5 PAUL X. TIVNAN DRIVE, WEST BOYLSTON, MA 01583
- **Mailing address phone:** (508) 854-1800
- **Mailing address fax:** (508) 854-1787

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2025
- **Last updated:** 10/24/2025