NPIMap

Organization Active NPI

Federal Bureau of Prisons

  • Clinic/Center
  • Devens, MA
National Provider Identifier
1053644773
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FEDERAL BUREAU OF PRISONS
Practice address
42 Patton Rd
Devens, MA 01432
Phone
(978) 796-1411
Fax
(978) 796-1097
NPI assigned
Sep 14, 2009
Last updated
Feb 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FEDERAL BUREAU OF PRISONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Dr. Patricia Ruze, MD
Title
Acting Clinical Director
Phone
(978) 796-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

42 Patton Rd
Devens, MA 01432

Mailing address

PO Box 880
Ayer, MA 01432-0880
Phone (978) 796-1411

Other names 1

  • Federal Medical Center Devens Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0961540Federal Medical Center Devens Ma42 Patton Rd, Ayer, MA 01432AccreditationFeb 9, 2028
22D1003052Federal Bureau of Prisons42 Patton Road, Fort Devens, MA 01432Certificate of waiverAug 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Federal Transfer Center Oklahoma City49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1053644773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014320880",
            "telephone_number": "978-796-1411",
            "fax_number": "978-796-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PATTON RD",
            "city": "DEVENS",
            "state": "MA",
            "postal_code": "01432",
            "telephone_number": "978-796-1411",
            "fax_number": "978-796-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL BUREAU OF PRISONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FEDERAL BUREAU OF PRISONS",
        "enumeration_date": "2009-09-14",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "RUZE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ACTING CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "978-796-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Federal Medical Center Devens",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Federal Medical Center Devens",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Devens, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.