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Organization

THE COMMONWEALTH OF MASSACHUSETTS

Active
Parent organization
THE COMMONWEALTH OF MASSACHUSETTS
Other names
Suffolk County House of Correction
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

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

Other

Enumeration date
08/15/2025
Last updated
08/15/2025
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