SPECTRUM HEALTH SYSTEMS INC NPI 1376827188

NPI Information

NPI: 1376827188
Provider Name: SPECTRUM HEALTH SYSTEMS INC
Classification: Clinic/Center - 261QM1300X
Specialization: Multi-Specialty
Entity Type: Organization
CLIA Number: 22D2293344
Address: 105 MERRICK ST
WORCESTER, MA
ZIP 01609
Phone: (508) 797-6100

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NPI Details

SPECTRUM HEALTH SYSTEMS INC is a multi-specialty clinic center in Worcester, MA. SPECTRUM HEALTH SYSTEMS INC NPI is 1376827188. The provider is registered as an organization entity type.

The provider's business location address is:

105 MERRICK ST
WORCESTER, MA
ZIP 01609-937
Phone: (508) 797-6100
Fax: (508) 797-0693

The provider's authorized official is Janet Langlois .
The authorized official title is Vp Finance and has the following contact phone number (508) 792-5400.

The CLIA number assigned to this NPI record is 22D2293344 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2011 and was last updated on 9/29/2011.

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	261QM1300X	Clinic/Center	Multi-Specialty		MASSACHUSETTS	Yes

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	M18684	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHEILD
2	1306421	MEDICAID	MASSACHUSETTS
3	Y10400	MEDICARE UPIN	MASSACHUSETTS
4	1308785	MEDICAID	MASSACHUSETTS
5	2220002001	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHEILD

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: 3/30/2025

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