| Organization Name: | FEDERAL MEDICAL CENTER DEVENS |
| NPI Number: | 1295046647 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALBERTO BETANCES (ASSIST HEALTH SERVICE ADMINISTRATOR) |
| Mailing Address: | 42 Patton Rd Ayer |
| State: | MA US |
| Postal Code: | 01433 |
| Phone Number: | 9787961400 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2010 |
| NPI Last Update Date: | 06/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2400X |
| License Number: | PA2382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Prison Health |
| Taxonomy Definition: | |