Provider Demographics
NPI:1861678047
Name:BERKSHIRE COMMUNITY ACTION COUNCIL
Entity Type:Organization
Organization Name:BERKSHIRE COMMUNITY ACTION COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-445-4503
Mailing Address - Street 1:1531 EAST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-5314
Mailing Address - Country:US
Mailing Address - Phone:413-445-4503
Mailing Address - Fax:413-447-7871
Practice Address - Street 1:1531 EAST ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5314
Practice Address - Country:US
Practice Address - Phone:413-445-4503
Practice Address - Fax:413-447-7871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1722221Medicaid