340B Drug Pricing Program Database
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DSH220046B BERKSHIRE MEDICAL CENTER (Terminated)
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Main Details
Name
BERKSHIRE MEDICAL CENTER
Subdivision Name
Occupational Health Clinic and Travel Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220046B
Medicare Provider Number
220046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/9/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/13/2013
Last Recertification Date
9/4/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Berkshire Medical Center
Scott Adam St. George, Chief Financial Officer
(413) 447-3366
Primary Contact
Berkshire Health Systems
Jonathan Douglas, 340B Manager
(413) 447-3064
Addresses
Street Address
610 North Street
Pittsfield, MA 01201
Billing Address
Berkshire Health Systems
PO Box 4339
Pittsfield, MA 01202-4339
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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