340B Drug Pricing Program Database
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DSH220046AF BERKSHIRE MEDICAL CENTER (Active)
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Main Details
Name
BERKSHIRE MEDICAL CENTER
Subdivision Name
The Phelps Cancer Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220046AF
Medicare Provider Number
220046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/4/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/9/2017
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
165 Tor Court
Pittsfield, MA 01201
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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