MEDICARE: TAPESTRY HEALTH SYSTEMS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0050X	Non-Surgical Family Planning Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1227	OTHER	MA	HEALTH NEW ENGLAND
2	727521	OTHER	MA	TUFTS
3	6569	OTHER	MA	BMC
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578664322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAPESTRY HEALTH SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	1985 MAIN ST STE 202
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01103-1099
Country	:	US
Telephone Number	:	413-586-2016
Fax Number	:	413-586-0212

Provider Business Practice Location Address
First Line	:	1985 MAIN ST STE 202
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01103-1099
Country	:	US
Telephone Number	:	413-586-2016
Fax Number	:	413-586-0212

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	MS. MARIE DOKOUPIL
Credential	:
Telephone Number	:	413-586-2016

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	05/24/2021

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Directions to “TAPESTRY HEALTH SYSTEMS, INC. ” Practice Location

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