FEDERAL BUREAU OF PRISONS – NPI #1295046647
Clinic/Center

FEDERAL BUREAU OF PRISONS is an AHC clinic located in AYER, MA. NPPES has assigned the NPI number 1295046647 to FEDERAL BUREAU OF PRISONS on June 30, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FEDERAL BUREAU OF PRISONS” is a dba name, the actual legal business name for this organization is FEDERAL MEDICAL CENTER DEVENS. The primary taxonomy selected by this provider is 261QP2400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Prison Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FEDERAL BUREAU OF PRISONS below.

NPI Profile for
FEDERAL MEDICAL CENTER DEVENS

NPI Number
1295046647
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FEDERAL MEDICAL CENTER DEVENS
Doing Business As (dba): FEDERAL BUREAU OF PRISONS
Primary location
42 PATTON RD
AYER, MA 01433
Phone: (978) 796-1400 Fax:
Mailing address
35 OAK KNOLL RD
NATICK, MA 01760-1103
Phone: (508) 545-0733 Fax:
Organization Subpart
No
Authorized Official
ALBERTO BETANCES
ASSIST HEALTH SERVICE ADMINISTRATOR
Phone: (978) 796-1400
Updated
Identifiers

Identifiers for FEDERAL BUREAU OF PRISONS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE PHYSICIAN ASSISTANT LICENSEMAPA2382
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2400X
- Clinic/Center / Prison Health (Primary)
MA PA2382

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.