Organization
MOUNTAIN MEDICINE PC
Active
Organization
MOUNTAIN MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE M DAGOSTINO (TREASURER)
(413) 442-4700
Entity
Organization
Contact information
Practice address
1450 EAST ST STE 6N, PITTSFIELD, MA 01201-5319
(413) 442-4700
(413) 442-4711
Mailing address
1565 HANCOCK RD, WILLIAMSTOWN, MA 01267
(413) 442-4700
(413) 442-4711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020879
BERKSHIRE HEALTH NET
—
01
—
000000028890
BMC HEALTH NET
—
01
—
1006517
VT MEDICAID
—
01
—
111654
MVP
—
01
—
11S654
MVP/PIN #
—
01
—
156843
TUFTS
—
01
—
16095
NHP
—
01
—
3183386
MASS HEALTH
—
05
—
3183386
—
MA
01
—
32023
HNE
—
01
—
3516813
AETNA
—
01
—
8906530002
CIGNA
—
01
—
J19130
MA BLUE SHIELD
—
01
—
MD0341139AR
MA CONTROL #
—
Enumeration date
05/03/2006
Last updated
10/10/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up