Organization
SPECTRUM HEALTH SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JANET LANGLOIS (VP FINANCE)
(508) 792-5400
Entity
Organization
Contact information
Practice address
105 MERRICK ST, WORCESTER, MA 01609-1937
(508) 797-6100
(508) 797-0693
Mailing address
10 MECHANIC ST, SUITE 302, WORCESTER, MA 01608-2420
(508) 792-5400
(508) 831-0058
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306421
—
MA
05
—
1308785
—
MA
01
—
2220002001
BLUE CROSS BLUE SHEILD
MA
01
—
M18684
BLUE CROSS BLUE SHEILD
MA
Enumeration date
09/29/2011
Last updated
09/29/2011
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