Healthcare Provider Details

I. General information

NPI: 1760646749
Provider Name (Legal Business Name): TAPESTRY HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2008
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 MAIN ST STE I
SPRINGFIELD MA
01103-1016
US

IV. Provider business mailing address

1985 MAIN ST STE 202
SPRINGFIELD MA
01103-1099
US

V. Phone/Fax

Practice location:
  • Phone: 413-773-6639
  • Fax:
Mailing address:
  • Phone: 413-586-2016
  • Fax: 413-586-0212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA PATRICIA MILLER
Title or Position: DIRECTOR OF CLINICAL SERVICES
Credential:
Phone: 413-586-2016