Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Parent organization
THE COMMONWEALTH OF MASSACHUSETTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
JENNIFER SHEEHAN (CHIEF FINANCIAL OFFICER)
(508) 563-4310
Entity
Organization
Contact information
Practice address
6000 SHERIFF'S PLACE, BOURNE, MA 02542
(508) 563-4300
(508) 563-4581
Mailing address
6000 SHERIFF'S PLACE, BOURNE, MA 02542
(508) 563-4300
(508) 563-4581
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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