Pioneer Valley Urology, Pc

LBN: Pioneer Valley Urology, Pc
Pioneer Valley Urology, Pc is an health care organization with primary practice located at 100 Wason Avenue Suite 120, Springfield MA 01107-0119. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Pioneer Valley Urology, Pc can be contacted via phone (413) 241-2100, or through Gellock, Sally via phone (413) 241-2100.

Contact Information

Primary practice address
100 Wason Avenue Suite 120 Springfield MA 01107-0119
Phone: (413) 241-2100
Fax: (413) 735-2012
Website:
Map and Directions
Authorized official contact:
Name: Gellock, Sally
Phone: (413) 241-2100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1750315982
LBN Legal business name Pioneer Valley Urology, Pc
DBA Doing business as
Authorized official Gellock, Sally
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 12th, 2010 - about 15 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 1750315982 NPPES
Massachusetts MEDICAID 9774424
Massachusetts Other M16033

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