Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Parent organization
THE COMMONWEALTH OF MASSACHUSETTS
Other names
Worcester County Sheriff's Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
MR. JASON RIVES (SUPERINTENDENT/CFO)
(508) 854-1809
Entity
Organization
Contact information
Practice address
5 PAUL X. TIVNAN DRIVE, WEST BOYLSTON, MA 01583
(508) 854-1800
(508) 854-1787
Mailing address
5 PAUL X. TIVNAN DRIVE, WEST BOYLSTON, MA 01583
(508) 854-1800
(508) 854-1787
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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