Healthcare Provider Details

I. General information

NPI: 1124184494
Provider Name (Legal Business Name): BERKSHIRE MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 03/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 NORTH ST
PITTSFIELD MA
01201-4109
US

IV. Provider business mailing address

725 NORTH ST PO BOX 4999
PITTSFIELD MA
01201-4109
US

V. Phone/Fax

Practice location:
  • Phone: 413-447-2000
  • Fax: 413-447-2803
Mailing address:
  • Phone: 413-447-2000
  • Fax: 413-447-2803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License NumberVQKK
License Number StateMA

VIII. Authorized Official

Name: MRS. DARLENE RODOWICZ
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 413-447-2000