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FEDERAL MEDICAL CENTER DEVENS
NPI 1053644773
Clinic/Center in Devens, MA

Active since September 14, 2009CLIA Certified · 2 labs
42 PATTON RD, DEVENS, MA 01432(978) 796-1411(978) 796-1097 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Federal Medical Center Devens NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FEDERAL MEDICAL CENTER DEVENS (NPI 1053644773) is a healthcare organization registered as a clinic/center in Devens, Massachusetts and active in the NPI registry since September 2009. The organization holds 2 active CLIA laboratory certificates and lists Patricia Ruze, Acting Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1053644773
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFEDERAL BUREAU OF PRISONS
Location Address42 PATTON RDDevens, MA 01432
Mailing AddressPo Box 880Ayer, MA 01432-0880 · (978) 796-1411 · Fax (978) 796-1097
Phone(978) 796-1411
Fax(978) 796-1097
Organization SubpartYes
Authorized OfficialPatricia RuzeActing Clinical Director · (978) 796-1411
Enumeration DateSeptember 14, 2009
Last NPPES UpdateFebruary 4, 2022
NPPES CertifiedFebruary 4, 2022
✔ NPI 1053644773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
42 PATTON RD, Devens, MA 01432
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Other Names 1

Other NameFederal Medical Center Devens

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 22D0961540

Federal Medical Center Devens Ma · Ayer, MA
Active · expires Feb 9, 2028
CLIA Number22D0961540
Laboratory TypePrison
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorDr. Lawrence Churchville
Laboratory Phone(978) 796-1387
Laboratory LocationFederal Medical Center Devens Ma42 Patton Rd, Ayer, MA 01432
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 22D1003052

Federal Bureau Of Prisons Federal Medical Center Devens · Fort Devens, MA
Active · expires Aug 20, 2026
CLIA Number22D1003052
Laboratory TypeOther
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorLucas Lund
Laboratory Phone(978) 796-1504
Laboratory LocationFederal Bureau Of Prisons Federal Medical Center Devens42 Patton Road, Fort Devens, MA 01432
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Federal Bureau Of Prisons's NPI number?

The NPI number for Federal Bureau Of Prisons is 1053644773. It was assigned to this organization in the NPPES registry on September 14, 2009. The provider is also known as Federal Medical Center Devens.

Where is Federal Bureau Of Prisons located?

Federal Bureau Of Prisons is located at 42 Patton Rd, Devens, MA 01432. The listed phone number is (978) 796-1411.

What is Federal Bureau Of Prisons's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Federal Bureau Of Prisons hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Federal Bureau Of Prisons was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.