Federal Medical Center Devens
Organization Active NPI Prison Health Clinic/Center · Ayer, MA
NPI 1295046647 · NPPES record last updated Jun 30, 2010
Key facts
- NPI
- 1295046647
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prison Health Clinic/Center 261QP2400X
- License
- PA2382 (MA)
- Legal business name
- FEDERAL MEDICAL CENTER DEVENS
- Practice address
- 42 Patton Rd
Ayer, MA 01433 - Phone
- (978) 796-1400
- NPI assigned
- Jun 30, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Alberto Betances
- Title
- Assist Health Service Administrator
- Phone
- (978) 796-1400
Corporate family (same tax ID) 9
Practitioners 6
-
Herbert Beam, MD
-
Robyn Coons, LICSW, BCD
-
Sandra Lynn Howard, M.D.
-
Dean J. Overmiller, PHARM.D.
-
Anna Santoro, PHARMD, BCPP, BCGP
National Provider Directory
- Tax ID family
- State Farm Insurance
Locations
42 Patton Rd
Devens, MA 01434
Phone (978) 796-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | PA2382 | MA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2382 | Other | MA | STATE PHYSICIAN ASSISTANT LICENSE |
Other names
- Federal Bureau of Prisons
Other providers in Ayer, MA
- Annette Claire Dratch
- Brian C Dressel
- Christopher A Duffey
- Michele R Dunn
- Essent Healthcare - Ayer, Inc.
- Jeffrey Paul Fennelly
- Sally Floyd
- Matthew Foley
- Darlene Gaibor
- Gary Crbonello
All providers in Ayer, MA · Prison Health Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.