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DSH220046AA BERKSHIRE MEDICAL CENTER (Terminated)
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Main Details
Name
BERKSHIRE MEDICAL CENTER
Subdivision Name
North County Ambulatory Surgery
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220046AA
Medicare Provider Number
220046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/2/2016
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 Avenue
North Adams, MA 01247
Billing Address
Berkshire Health System
PO Box 4339
Pittsfield, MA 01202-4339
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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