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DSH220046R BERKSHIRE MEDICAL CENTER (Active)
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Main Details
Name
BERKSHIRE MEDICAL CENTER
Subdivision Name
MAC Building Neurology Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220046R
Medicare Provider Number
220046
Outpatient Facility Provider Number
220046
Additional Details
Current Program Status
Active
Registration Date
7/14/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/12/2014
Last Recertification Date
9/4/2024
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
777 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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