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Organization

UCP OF WESTERN MASSACHUSETTS INC

Active
Other names
Northern Berkshire Early Intervention
Organization subpart
No

Provider details

NPI number
Authorized official
RANDALL KINNAS (CEO)
(413) 442-1562
Entity
Organization

Contact information

Practice address
208 WEST ST, PITTSFIELD, MA 01201-5703
(413) 442-1562
(413) 499-4077
Mailing address
208 WEST ST, PITTSFIELD, MA 01201-5703
(413) 442-1562
(413) 499-4077

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
252Y00000X
Early Intervention Provider Agency
MA
253J00000X
Foster Care Agency
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110029047B
MA
05
110082491B
MA
05
110082491C
MA
05
110082491D
MA
Enumeration date
05/12/2009
Last updated
03/03/2026
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