NPIMap

Organization Active NPI

The Commonwealth of Massachusetts

  • Prison Health Clinic/Center
  • Ludlow, MA
National Provider Identifier
1013893007
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Practice address
627 Randall Road
Hampden County Sheriffs Office Main Institution
Ludlow, MA 01056
Phone
(413) 858-0343
Fax
(413) 589-0912
NPI assigned
Aug 14, 2025
Organization subpart
Yes
Parent organization
THE COMMONWEALTH OF MASSACHUSETTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Colbert
Title
Superintendent
Phone
(413) 858-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

627 Randall Road
Hampden County Sheriffs Office Main Institution
Ludlow, MA 01056

Mailing address

627 Randall Road
Hampden County Sheriffs Office Main Institution
Ludlow, MA 01056
Phone (413) 858-0343

National Provider Directory

National Provider Directory
Tax ID family
C Stanley Raymond146 organizations share this tax ID, including this one
Part of
C Stanley Raymond

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

627 Randall Rd
Ofc Main
Ludlow, MA 01056
Phone (413) 858-0343

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1013893007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 RANDALL ROAD",
            "address_2": "HAMPDEN COUNTY SHERIFFS OFFICE MAIN INSTITUTION",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "01056",
            "telephone_number": "413-858-0343",
            "fax_number": "413-589-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 RANDALL ROAD",
            "address_2": "HAMPDEN COUNTY SHERIFFS OFFICE MAIN INSTITUTION",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "01056",
            "telephone_number": "413-858-0343",
            "fax_number": "413-589-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE COMMONWEALTH OF MASSACHUSETTS",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "413-858-0110"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.