SPECTRUM HEALTH SYSTEMS INC (NPI# 1376827188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376827188 |
Entity Type | Organization |
Organization Name | SPECTRUM HEALTH SYSTEMS INC |
Practice Address |
105 Merrick St Worcester MA 01609-1937 |
Mailing Address |
10 Mechanic St Suite 302 Worcester MA 01608-2420 |
Practice Telephone | 5087976100 |
Practice Fax Number | 5087970693 |
Mailing Telephone | 5087925400 |
Mailing Fax Number | 5088310058 |
Enumeration Date | 2011-09-29 |
Last Update Date | 2011-09-29 |
Authorized Official Name | MISS JANET LANGLOIS (VP FINANCE) |
Authorized Official Telephone | 5087925400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
MA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1308785 | 05 | |
MA | 1306421 | 05 | |
MA | BLUE CROSS BLUE SHEILD | 2220002001 | 01 |
MA | BLUE CROSS BLUE SHEILD | M18684 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | Spectrum Health Systems Inc. | 3414 Six Forks Road, Raleigh, NC 27609 |
Virginia Business Entities | Spectrum Health Systems Inc. | 10 Mechanic Street, Suite 302, Worcester, Massachusetts 01608 |
Street Address |
105 MERRICK ST |
City | WORCESTER |
State | MA |
Zip Code | 01609-1937 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215031802 | James P Bresnahan Jr. | Counselor | 105 Merrick St, Us, Worcester, MA 01609 | 2006-09-12 |
1063059442 | Matthew Collin | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2019-12-05 |
1225680929 | Nicole Marie Magni | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2019-07-12 |
1285286914 | Rita Peirce | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2019-07-12 |
1801452040 | George Clark | Social Worker | 105 Merrick St, Worcester, MA 01609-1937 | 2019-05-14 |
1164905774 | Elizabeth Clinkscales | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2018-09-10 |
1063994010 | Lisa Dagnello | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2018-09-05 |
1588053615 | Erin Sutherland | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2015-01-13 |
1972909950 | James Mcgrath | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2014-11-18 |
1306247226 | Eraldo Bango | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2014-09-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
1396190096 | Dasa Home Health Inc | Home Health | 255 Park Ave Ste 1101a, Worcester, MA 01609 | 2016-04-30 |
1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
1306254875 | Brenda Mccarthy-trayah | Counselor | 198 Russell St., Worcester, MA 01609 | 2014-07-29 |
1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
1477849032 | Diversified Staffing | Nursing Care | 39 Salisbury Street, Worcester, MA 01609 | 2011-06-22 |
1508195140 | 64 Highland Dental | Dentist | 64 Highland Street, Worcester, MA 01609 | 2009-12-10 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992199830 | Massachusetts Integrated Care | Clinic/Center | 108 Grove St Ste 22, Worcester, MA 01605-2651 | 2015-03-27 |
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1568851368 | Brain Fit Academy, Inc | Clinic/Center | 25 Westcott Rd, Hopedale, MA 01747-1824 | 2015-01-16 |
1689007908 | Convivial Dental PC | Clinic/Center | 1244 Boylston St Ste 205, Chestnut Hill, MA 02467-2115 | 2013-08-11 |
1265873582 | New England Muscular Therapy, LLC | Clinic/Center | 1458 Hancock St, Suite 220, Quincy, MA 02169-5214 | 2013-07-15 |
1558613026 | Salud Spine Joint and Wellness Center | Clinic/Center | 651 Orchard Street, Suite 202a, New Bedford, MA 02744 | 2012-10-09 |
1932455193 | Np House/clinic Calls, LLC | Clinic/Center | 31 Eric Dr, Pittsfield, MA 01201-8324 | 2012-07-25 |
1508082710 | Saltz Schulman & Gershengorn Ptr Cardiology Associates | Clinic/Center | 1101 Beacon St Fl 4, Brookline, MA 02446-5587 | 2007-04-17 |
1407079759 | North Shore Rehabilitation Associates Inc. | Clinic/Center | 121 Broad Street, Lynn, MA 01901-1629 | 2007-04-11 |
1346308723 | Massachusetts Institute of Technology | Clinic/Center | 25 Carleton St., E23-395, Cambridge, MA 02142-1323 | 2006-12-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.