Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 07/15/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 INDUSTRY AVE SUITE 1
SPRINGFIELD MA
01104-3241
US

IV. Provider business mailing address

96 INDUSTRY AVE SUITE 1
SPRINGFIELD MA
01104-3241
US

V. Phone/Fax

Practice location:
  • Phone: 413-782-7745
  • Fax: 413-439-0373
Mailing address:
  • Phone: 413-782-7745
  • Fax: 413-439-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMA

VIII. Authorized Official

Name: KAREN FLETCHER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 413-782-2500