The Commonwealth of Massachusetts
Organization Active NPI Prison Health Clinic/Center · Salisbury, MA
NPI 1396600136 · NPPES record last updated Dec 23, 2025
Key facts
- NPI
- 1396600136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prison Health Clinic/Center 261QP2400X
- Legal business name
- THE COMMONWEALTH OF MASSACHUSETTS
- Practice address
- 197 Elm Street
Salisbury, MA 01952-9998 - Phone
- (978) 750-1900
- NPI assigned
- Dec 23, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
- Name
- Mr. Jason William Faro
- Title
- Assistant Superintendent
- Phone
- (978) 750-1900
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- C Stanley Raymond
- Part of
- C Stanley Raymond
Locations
197 Elm St
Salisbury, MA 01952
Phone (978) 462-0787
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | Yes |
Addresses
Primary practice location
197 Elm Street
Salisbury, MA 01952-9998
Mailing address
20 Manning Ave
Middleton, MA 01949-9998
Phone (978) 750-1900
Other names
- Essex County Sheriff's Dept.
Other providers in Salisbury, MA
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- Peter Foster Smith
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- Luke Patrick Suchecki
- Jill J Tapper
- Town of Salisbury
- Jessica Vicente
- Kiandra Francis White
- William G Jackson, M.D., LLC
- Marianne Winter
All providers in Salisbury, 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 Dec 23, 2025. 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.