Healthcare Provider Details
I. General information
NPI: 1780848739
Provider Name (Legal Business Name): TAPESTRY HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2008
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
306 RACE ST
HOLYOKE MA
01040-5720
US
IV. Provider business mailing address
1985 MAIN ST STE 202
SPRINGFIELD MA
01103-1099
US
V. Phone/Fax
- Phone: 413-536-8777
- Fax:
- Phone: 413-586-2016
- Fax: 413-586-0212
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIE
DOKOUPIL
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 413-586-2016