Provider Demographics
NPI:1659694313
Name:PIONEER VALLEY CHINESE IMMERSION CHARTER SCHOOL
Entity Type:Organization
Organization Name:PIONEER VALLEY CHINESE IMMERSION CHARTER SCHOOL
Other - Org Name:PIONEER VALLEY CHINESE IMMERSION CHARTER SCHOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN, BOARD OF TRUSTEES
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALCORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-582-7040
Mailing Address - Street 1:174 BRUSH HILL AVE
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-1204
Mailing Address - Country:US
Mailing Address - Phone:413-735-2200
Mailing Address - Fax:413-735-2270
Practice Address - Street 1:317 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-3535
Practice Address - Country:US
Practice Address - Phone:413-582-7040
Practice Address - Fax:413-582-7068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1951297Medicaid