340B Drug Pricing Program Database
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DSH220046AU BERKSHIRE MEDICAL CENTER (Terminated)
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Main Details
Name
BERKSHIRE MEDICAL CENTER
Subdivision Name
WILLIAMSTOWN MEDICAL OF BMC - WMA- Williamstown
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH220046AU
Medicare Provider Number
220046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/19/2018
Last Recertification Date
8/23/2019
Termination Date
Termination Reason
1/1/2020
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
197 ADAMS RD
WILLIAMSTOWN, MA 01267-2930
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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