Organization · Type 2 NPI

The Commonwealth of Massachusetts

Prison Health Clinic/Center · Boston, MA

NPI number 1669358461 Active

Practice location

20 Bradston Street
Boston, MA 02118

Fax (617) 704-6558

Specialties and licenses

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

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

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NPI record

NPI: 1669358461
Entity type: Organization (Type 2)
Issued: Aug 15, 2025
Last updated: Aug 15, 2025
Status: Active
Subpart: Yes of The Commonwealth of Massachusetts

Other names

Suffolk County House of Correction · doing business as

Authorized official

Ms. Cindylou Lyons, RN
Director of Medical Services
(617) 635-1000

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 1669358461

The Commonwealth of Massachusetts's National Provider Identifier is 1669358461, issued on Aug 15, 2025. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Boston, MA. The record was last updated on Aug 15, 2025.