Pioneer Valley Nephrology, Pc

LBN: Pioneer Valley Nephrology, Pc
Pioneer Valley Nephrology, Pc is an health care organization with primary practice located at 300 Stafford St Suite 161, Springfield MA 01104-3581. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Pioneer Valley Nephrology, Pc can be contacted via phone (413) 787-0090, or through Gillis, Crystal via phone (413) 787-0090.

Contact Information

Primary practice address
300 Stafford St Suite 161 Springfield MA 01104-3581
Phone: (413) 787-0090
Fax: (413) 787-0089
Website:
Map and Directions
Authorized official contact:
Name: Gillis, Crystal
Phone: (413) 787-0090

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1548206626
LBN Legal business name Pioneer Valley Nephrology, Pc
DBA Doing business as
Authorized official Gillis, Crystal
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 17th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548206626 NPPES
Connecticut MEDICAID 003109932
Connecticut MEDICAID 9709312
Connecticut Other M17055

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