Provider Demographics
NPI:1295765261
Name:BERKSHIRE MEDICAL CENTER, INC
Entity type:Organization
Organization Name:BERKSHIRE MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-447-2809
Mailing Address - Street 1:725 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4109
Mailing Address - Country:US
Mailing Address - Phone:413-447-2000
Mailing Address - Fax:413-447-2803
Practice Address - Street 1:725 NORTH ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4109
Practice Address - Country:US
Practice Address - Phone:413-447-2000
Practice Address - Fax:413-447-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAVQKK282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1099981Medicaid
900201OtherTUFTS HEALTH PLAN OUTPT
905652OtherTUFTS HEALTH PLAN INPT
HO1478OtherOXFORD HEALTH PLANS
0160OtherMVP
MA1200143Medicaid
MA2222004610OtherBCMA OUTPATIENT
6300730OtherAETNA
10005746OtherCDPHP
10558OtherHEALTH NEW ENGLAND
900357OtherHARVARD PILGRIM
991396OtherCONNECTICARE
MA20300OtherBMCHNP
MA2222004601OtherBCMA INPATIENT
MA2222004630OtherBCMA SDC
900357OtherHARVARD PILGRIM