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Organization

BERKSHIRE MEDICAL CENTER, INC.

Active
Parent organization
BERKSHIRE MEDICAL CENTER, INC.
Other names
RENAL DIALYSIS SERVICES OF BMC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BERKSHIRE MEDICAL CENTER, INC.
Authorized official
KATHY GROMACKI (PROJECT COORDINATOR)
(413) 447-3442
Entity
Organization

Contact information

Practice address
8 CONTE DR, PITTSFIELD, MA 01201-8298
(413) 447-2000
(413) 447-2803
Mailing address
PO BOX 4999, PITTSFIELD, MA 01202-4999
(413) 447-2000
(413) 447-2803

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
VQKK
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0160
MVP
01
10005746
CDPHP
01
10558
HEALTH NEW ENGLAND
05
1099981
MA
05
1200143
MA
01
20300
BMC HEALTH NET PLAN
MA
01
220046
UNICARE MA EMPLOYEE GIC
MA
01
220046
HUMANA
01
2222004601
BLUE CROSS INPT
MA
01
2222004610
BLUE CROSS OUTPT
MA
01
2222004630
BLUE CROSS SDC
MA
01
260158
MAGELLAN BEHAVIORAL HEALT
01
6300730
AETNA
01
900201
TUFTS HEALTH PLAN OUTPT
01
900357
HARVARD PILGRIM HEALTH
01
905652
TUFTS HEALTH PLAN INPT
01
991396
CONNECTICARE
01
HO1478
OXFORD
Enumeration date
05/15/2007
Last updated
05/07/2018
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