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Organization

THE COMMONWEALTH OF MASSACHUSETTS

Active
Parent organization
THE COMMONWEALTH OF MASSACHUSETTS
Other names
Enter DBA name for your facility
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
NICOLE GUERTIN (CHIEF OF STAFF)
(413) 774-4014
Entity
Organization

Contact information

Practice address
160 ELMS STREET, GREENFIELD, MA 01301
(413) 774-4014
Mailing address
160 ELMS STREET, GREENFIELD, MA 01301

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary

Other

Enumeration date
08/04/2025
Last updated
08/04/2025
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