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DSH220046Z BERKSHIRE MEDICAL CENTER (Terminated)
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Main Details
Name
BERKSHIRE MEDICAL CENTER
Subdivision Name
BERKSHIRE MEDICAL CENTER / Satellite Emergency Facility of BMC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220046Z
Medicare Provider Number
220046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/15/2015
Last Recertification Date
9/7/2023
Termination Date
Termination Reason
7/1/2024
Change of covered entity type (non-hospital)
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
71 Hospital Ave
North Adams, MA 01247
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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