Organization · Type 2 NPI
The Commonwealth of Massachusetts
Prison Health Clinic/Center · Bourne, MA
NPI number
1194609404
Active
Practice location
6000 Sheriff's Place
Bourne, MA 02542
Fax (508) 563-4581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | None listed |
Prison Health Clinic/Center: Definition to come...
About NPI 1194609404
The Commonwealth of Massachusetts's National Provider Identifier is 1194609404, issued on Aug 1, 2025. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Bourne, MA. The record was last updated on Aug 1, 2025.