OrganizationActive
The Commonwealth of Massachusetts
NPI 1669358461 · Prison Health Clinic/Center · Boston, MA
Provider details
- NPI number
- 1669358461
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- The Commonwealth of Massachusetts
- Authorized official
- Cindylou Lyons, Director of Medical Services
Practice location
20 Bradston Street
Boston, MA 02118
Phone: (617) 635-1000
Fax: (617) 704-6558
Mailing address
20 Bradston Street
Boston, MA 02118
Registry dates
- Enumerated
- 2025-08-15
- Last updated
- 2025-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.