| Commonwealth Of Massachusetts Sheriff's Dept Hampden | |
| 
					627 Randall Rd Ludlow MA 01056-1085  | |
| (413) 547-8000 | |
| (413) 589-0912 | 
| Full Name | Commonwealth Of Massachusetts Sheriff's Dept Hampden | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 627 Randall Rd, Ludlow, Massachusetts | 
| Authorized Official Name and Position | Jay Ashe (SUPERINTENDENT) | 
| Authorized Official Contact | 4135478000 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Commonwealth Of Massachusetts Sheriff's Dept Hampden 627 Randall Rd Ludlow MA 01056-1085 Ph: (413) 547-8000  | Commonwealth Of Massachusetts Sheriff's Dept Hampden 627 Randall Rd Ludlow MA 01056-1085 Ph: (413) 547-8000  | 
| NPI Number | 1396968442 | 
|---|---|
| Provider Enumeration Date | 04/10/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1396968442 | NPI | - | NPPES | 
| H990026 | Other | MA | PROVIDER NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
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