Organization · Type 2 NPI

The Commonwealth of Massachusetts

Prison Health Clinic/Center · Middleton, MA

NPI number 1306701248 Active

Practice location

20 Manning Ave
Middleton, MA 01949-9998

Call (978) 750-1900 Map

Fax (978) 750-1998

Specialties and licenses

Taxonomy	Code	License
Prison Health Clinic/Center Primary	261QP2400X	None listed

Prison Health Clinic/Center: Definition to come...

NPI record

NPI: 1306701248
Entity type: Organization (Type 2)
Issued: Dec 23, 2025
Last updated: Dec 23, 2025
Status: Active
Subpart: Yes of The Commonwealth of Massachusetts

Other names

Essex County Sheriff's Dept. · doing business as

Authorized official

Mr. Jason William Faro
Assistant Superintendent
(978) 750-1900

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306701248

The Commonwealth of Massachusetts's National Provider Identifier is 1306701248, issued on Dec 23, 2025. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Middleton, MA. The record was last updated on Dec 23, 2025.