OrganizationActive
The Commonwealth of Massachusetts
NPI 1194609404 · Prison Health Clinic/Center · Bourne, MA
Provider details
- NPI number
- 1194609404
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- The Commonwealth of Massachusetts
- Authorized official
- Jennifer Sheehan, Chief Financial Officer
Practice location
6000 Sheriff'S Place
Bourne, MA 02542
Phone: (508) 563-4300
Fax: (508) 563-4581
Mailing address
6000 Sheriff'S Place
Bourne, MA 02542
Registry dates
- Enumerated
- 2025-08-01
- Last updated
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.