Provider Demographics
NPI:1245440817
Name:MASSACHUSETTS CORRECTIONAL INDUSTRIES
Entity type:Organization
Organization Name:MASSACHUSETTS CORRECTIONAL INDUSTRIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF INDUSTRIES
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:KARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-727-0227
Mailing Address - Street 1:1 INDUSTRIES DRIVE, BUILDING A
Mailing Address - Street 2:PO BOX 188
Mailing Address - City:NORFOLK
Mailing Address - State:MA
Mailing Address - Zip Code:02056-0188
Mailing Address - Country:US
Mailing Address - Phone:617-727-0227
Mailing Address - Fax:781-762-2971
Practice Address - Street 1:500 COLONY RD
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-4238
Practice Address - Country:US
Practice Address - Phone:978-632-2000
Practice Address - Fax:888-698-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1537253OtherSTATE AGENCY