Healthcare Provider Details

I. General information

NPI: 1205797008
Provider Name (Legal Business Name): PIONEER VALLEY INFUSION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 DOTY CIR
WEST SPRINGFIELD MA
01089-1310
US

IV. Provider business mailing address

144 DOTY CIR
WEST SPRINGFIELD MA
01089-1310
US

V. Phone/Fax

Practice location:
  • Phone: 413-278-6611
  • Fax: 413-288-6608
Mailing address:
  • Phone: 413-278-6611
  • Fax: 413-288-6608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CAMERON HELM
Title or Position: OWNER
Credential:
Phone: 413-278-6611