340B Drug Pricing Program Database
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DSH220046AW BERKSHIRE MEDICAL CENTER (Active)
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Main Details
Name
BERKSHIRE MEDICAL CENTER
Subdivision Name
South County Renal Clinic - nephrology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220046AW
Medicare Provider Number
220046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/5/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/19/2018
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
10 Maple Ave
Great Barrington, MA 01230
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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