NPIMap

Organization Active NPI

Federal Medical Center Devens

Doing business as Federal Bureau of Prisons

  • Prison Health Clinic/Center
  • Ayer, MA
National Provider Identifier
1295046647
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
License
PA2382 Issued in MA
Legal business name
FEDERAL MEDICAL CENTER DEVENS
Doing business as
Federal Bureau of Prisons
Practice address
42 Patton Rd
Ayer, MA 01433
Phone
(978) 796-1400
NPI assigned
Jun 30, 2010
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Mr. Alberto Betances
Title
Assist Health Service Administrator
Phone
(978) 796-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X PA2382 MA Primary

Addresses

Primary practice location

42 Patton Rd
Ayer, MA 01433

Mailing address

35 Oak Knoll Rd
Natick, MA 01760-1103
Phone (508) 545-0733

Other names 1

  • Federal Bureau of Prisons Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centers for Disease Control and Prevention US Public Health Service10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

42 Patton Rd
Devens, MA 01434
Phone (978) 796-1000

Practitioners & affiliated clinicians

Practitioners 5

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": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1295046647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 OAK KNOLL RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601103",
            "telephone_number": "508-545-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PATTON RD",
            "city": "AYER",
            "state": "MA",
            "postal_code": "01433",
            "telephone_number": "978-796-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL MEDICAL CENTER DEVENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "BETANCES",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "ASSIST HEALTH SERVICE ADMINISTRATOR",
        "authorized_official_telephone_number": "978-796-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "MA",
            "license": "PA2382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Federal Bureau of Prisons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ayer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.