SPECTRUM HEALTH SYSTEMS INC NPI 1487608485

NPI Information

NPI: 1487608485
Provider Name: SPECTRUM HEALTH SYSTEMS, INC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
585 LINCOLN ST
WORCESTER, MA
ZIP 01605
Phone: (508) 854-3320
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SPECTRUM HEALTH SYSTEMS, INC is an addiction (substance use disorder) counselor in Worcester, MA. SPECTRUM HEALTH SYSTEMS, INC NPI is 1487608485. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

585 LINCOLN ST
WORCESTER, MA
ZIP 01605-906
Phone: (508) 854-3320

The provider's authorized official is Sherry Ann Ellis .
The authorized official title is Chief Operating Officer and has the following contact phone number (508) 792-5400.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 11/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	903163	OTHER	MASSACHUSETTS	HPHC
2	690527	OTHER	MASSACHUSETTS	TUFTS
3	988189	OTHER	MASSACHUSETTS	NETWORK HEALTH
4	1306421	MEDICAID	MASSACHUSETTS
5	1308785	MEDICAID	MASSACHUSETTS
6	2220002001	OTHER	MASSACHUSETTS	BCBS OF MA SUBSTANCE ABUS
7	M18684	OTHER	MASSACHUSETTS	BCBS OF MA MENTAL HEALTH
8	1002900	OTHER	MASSACHUSETTS	BEACON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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