MEDICARE: TAPESTRY HEALTH SYSTEMS

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982868014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAPESTRY HEALTH SYSTEMS

Provider Business Mailing Address
First Line	:	320 RIVERSIDE DR
Second Line	:
City	:	FLORENCE
State	:	MA
Zip	:	01062-2717
Country	:	US
Telephone Number	:	413-586-2016
Fax Number	:	413-586-0212

Provider Business Practice Location Address
First Line	:	80 MECHANIC ST
Second Line	:
City	:	ATHOL
State	:	MA
Zip	:	01331-3534
Country	:	US
Telephone Number	:	978-249-2013
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	THOMAS HUMPHREY
Credential	:
Telephone Number	:	413-586-2016

Provider Enumeration Date	:	07/17/2008
Last Update Date	:	07/17/2008

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Directions to “TAPESTRY HEALTH SYSTEMS ” Practice Location

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