NPIMap

Organization Active NPI

Spectrum Health Systems Inc

  • Multi-Specialty Clinic/Center
  • Worcester, MA
National Provider Identifier
1376827188
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SPECTRUM HEALTH SYSTEMS INC
Practice address
105 Merrick St
Worcester, MA 01609-1937
Phone
(508) 797-6100
Fax
(508) 797-0693
NPI assigned
Sep 29, 2011
Last updated
Sep 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Janet Langlois
Title
VP Finance
Phone
(508) 792-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X MA Primary

Addresses

Primary practice location

105 Merrick St
Worcester, MA 01609-1937

Mailing address

10 Mechanic St
Suite 302
Worcester, MA 01608-2420
Phone (508) 792-5400

Other identifiers 4

IdentifierTypeStateIssuer
M18684OtherMABLUE CROSS BLUE SHEILD
1308785MedicaidMA
2220002001OtherMABLUE CROSS BLUE SHEILD
1306421MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040715000611 MA Part B Supplier - Clinic/Group Practice 8224017082 Receives reassigned benefits from 57 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Haverhill, MA; Worcester, MA; Weymouth, MA; Westborough, MA; Waltham, MA; Southbridge, MA; Pittsfield, MA; North Adams, MA…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Health System4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

214 Howard St
Framingham, MA 01702
Phone (508) 872-0700

40 Spruce St
Leominster, MA 01453
Phone (978) 466-3820

50 Howe Ave
Millbury, MA 01527
Phone (508) 865-2085

1274 Curran Hwy
North Adams, MA 01247
Phone (413) 664-9024

184 Broadway
Saugus, MA 01906
Phone (781) 233-1095

153 Oak St
Westborough, MA 01581
Phone (508) 989-1570

155 Oak St
Westborough, MA 01581
Phone (508) 393-7177

861 Main St
Weymouth, MA 02190
Phone (781) 331-3709

1023 Main St
Worcester, MA 01603
Phone (508) 797-6100

105 Merrick St
Worcester, MA 01609
Phone (508) 425-3439

Practitioners & affiliated clinicians

Practitioners 158

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 158

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1376827188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MECHANIC ST",
            "address_2": "SUITE 302",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082420",
            "telephone_number": "508-792-5400",
            "fax_number": "508-831-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MERRICK ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091937",
            "telephone_number": "508-797-6100",
            "fax_number": "508-797-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "LANGLOIS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "508-792-5400",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "M18684",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308785",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "2220002001",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306421",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.