340B Drug Pricing Program Database
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DSH220046AC BERKSHIRE MEDICAL CENTER (Terminated)
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Main Details
Name
BERKSHIRE MEDICAL CENTER
Subdivision Name
North County Specialty Practices of BMC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220046AC
Medicare Provider Number
220046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/18/2016
Last Recertification Date
8/23/2019
Termination Date
Termination Reason
10/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Berkshire Medical Center
DARLENE RODOWICZ, Executive Vice President & Treasurer
(413) 447-2809
Primary Contact
Berkshire Health Systems
Erin Mirante, 340B Program Manager
(413) 664-5324
Addresses
Street Address
71 Hospital Avenue
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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May 2025
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