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Organization
SPECTRUM HEALTH SYSTEMS, INC
Active
Organization
SPECTRUM HEALTH SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY ANN ELLIS (CHIEF OPERATING OFFICER)
(508) 792-5400
Entity
Organization
Contact information
Practice address
585 LINCOLN ST, WORCESTER, MA 01605-1906
(508) 854-3320
Mailing address
10 MECHANIC ST., SUITE 302, WORCESTER, MA 01608
(508) 792-5400
(508) 831-0074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002900
BEACON
MA
05
—
1306421
—
MA
05
—
1308785
—
MA
01
—
2220002001
BCBS OF MA SUBSTANCE ABUS
MA
01
—
690527
TUFTS
MA
01
—
903163
HPHC
MA
01
—
988189
NETWORK HEALTH
MA
01
—
M18684
BCBS OF MA MENTAL HEALTH
MA
Enumeration date
05/22/2006
Last updated
11/19/2020
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