Provider Demographics
NPI:1083837629
Name:BERKSHIRE ARTS & TECHNOLOGY CHARTER PUBLIC SCHOOL
Entity Type:Organization
Organization Name:BERKSHIRE ARTS & TECHNOLOGY CHARTER PUBLIC SCHOOL
Other - Org Name:BART CHARTER PUBLIC SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:PAULINE
Authorized Official - Last Name:MELLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-743-7311
Mailing Address - Street 1:PO BOX 267
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01220-0267
Mailing Address - Country:US
Mailing Address - Phone:413-743-7311
Mailing Address - Fax:413-743-7327
Practice Address - Street 1:1 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01220-2059
Practice Address - Country:US
Practice Address - Phone:413-743-7311
Practice Address - Fax:413-743-7327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0414251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1955918OtherMASSHEALTH PROVIDER #