1932649753 NPI number — BERKSHIRE MEDICAL CENTER INC.

Table of content: MRS. MARIA E. ROBLES LPN (NPI 1821297144)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932649753 NPI number — BERKSHIRE MEDICAL CENTER INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BERKSHIRE MEDICAL CENTER INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932649753
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
71 HOSPITAL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH ADAMS
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01247-2504
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-664-5333
Provider Business Mailing Address Fax Number:
413-664-5069

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
71 HOSPITAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH ADAMS
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01247-2504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-664-5333
Provider Business Practice Location Address Fax Number:
413-664-5069
Provider Enumeration Date:
02/27/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RODOWICZ
Authorized Official First Name:
DARLENE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT AND CHIEF EXECUTIVE OFFIC
Authorized Official Telephone Number:
413-447-2809

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  DS90078 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)