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Organization

PIONEER VALLEY SURGICENTER LLC

Active
Other names
Pioneer Valley Surgicenter
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization

Contact information

Practice address
3550 MAIN ST, STE 103, SPRINGFIELD, MA 01107-1089
(413) 788-9700
(413) 788-9744
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M77020
BLUE CROSS BLUE SHIELD
MA
01
P00081733
RAIL ROAD MEDICARE
MA
Enumeration date
05/31/2006
Last updated
09/12/2022
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