Provider Demographics
NPI:1396004982
Name:PIONEER VALLEY HEALTHCARE
Entity Type:Organization
Organization Name:PIONEER VALLEY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABARSKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-835-2800
Mailing Address - Street 1:125 HARTWELL ST
Mailing Address - Street 2:
Mailing Address - City:WEST BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01583-2409
Mailing Address - Country:US
Mailing Address - Phone:508-835-2800
Mailing Address - Fax:508-835-2899
Practice Address - Street 1:125 HARTWELL ST
Practice Address - Street 2:
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-2409
Practice Address - Country:US
Practice Address - Phone:508-835-2800
Practice Address - Fax:508-835-2899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care