# THE COMMONWEALTH OF MASSACHUSETTS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE COMMONWEALTH OF MASSACHUSETTS
- **Other names:** Suffolk County House of Correction
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669358461
- **Legal business name:** THE COMMONWEALTH OF MASSACHUSETTS
- **Authorized official:** MS. CINDYLOU LYONS RN (DIRECTOR OF MEDICAL SERVICES)
- **Authorized official phone:** (617) 635-1000

## Contact information

- **Practice address:** 20 BRADSTON STREET, BOSTON, MA 02118
- **Practice address phone:** (617) 635-1000
- **Practice address fax:** (617) 704-6558
- **Mailing address:** 20 BRADSTON STREET, BOSTON, MA 02118
- **Mailing address phone:** (617) 635-1000
- **Mailing address fax:** (617) 704-6558

## Taxonomy

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

## Other

- **Enumeration date:** 08/15/2025
- **Last updated:** 08/15/2025
