MEDICARE: NORTHERN BERKSHIRE COMMUNITY SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	3973	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194706184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN BERKSHIRE COMMUNITY SERVICES INC

Provider Business Mailing Address
First Line	:	1561 COLD SPRING RD
Second Line	:
City	:	WILLIAMSTOWN
State	:	MA
Zip	:	01267-2743
Country	:	US
Telephone Number	:	413-458-8127
Fax Number	:	413-458-8209

Provider Business Practice Location Address
First Line	:	1561 COLD SPRING RD
Second Line	:
City	:	WILLIAMSTOWN
State	:	MA
Zip	:	01267-2743
Country	:	US
Telephone Number	:	413-458-8127
Fax Number	:	413-458-8209

Authorized Official
Title or Position	:	FINANCIAL SERVICES MANAGER
Name	:	CAROL B. RAND
Credential	:
Telephone Number	:	413-458-8127

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	08/22/2020

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