MEDICARE: MULTICULTURAL COMMUNITY SERVICES OF THE PIONEER VALLEY 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	251E00000X	Home Health Agency		MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3755369	OTHER	MA	AETNA
2	Q00643	OTHER	MA	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000027802	OTHER	MA	BMC HEALTHNET

General Provider Information

NPI Number	:	1366445546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULTICULTURAL COMMUNITY SERVICES OF THE PIONEER VALLEY INC.

Provider Business Mailing Address
First Line	:	96 INDUSTRY AVE
Second Line	:	SUITE 1
City	:	SPRINGFIELD
State	:	MA
Zip	:	01104-3241
Country	:	US
Telephone Number	:	413-782-7745
Fax Number	:	413-439-0373

Provider Business Practice Location Address
First Line	:	96 INDUSTRY AVE
Second Line	:	SUITE 1
City	:	SPRINGFIELD
State	:	MA
Zip	:	01104-3241
Country	:	US
Telephone Number	:	413-782-7745
Fax Number	:	413-439-0373

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KAREN FLETCHER
Credential	:
Telephone Number	:	413-782-2500

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/15/2024

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