1831179308 NPI number — BERKSHIRE HAND THERAPY, PC

Table of content: (NPI 1831179308)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831179308 NPI number — BERKSHIRE HAND THERAPY, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BERKSHIRE HAND THERAPY, PC
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:
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:
1831179308
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 WASHINGTON SQ
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST STOCKBRIDGE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01266-9372
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-499-4991
Provider Business Mailing Address Fax Number:
413-499-4922

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
505 EAST ST
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
PITTSFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01201-5300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-499-4991
Provider Business Practice Location Address Fax Number:
413-499-4922
Provider Enumeration Date:
01/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NEGRINI
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
413-499-4991

Provider Taxonomy Codes

  • Taxonomy code: 225XH1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 9736361 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: OG0036 . This is a "BCBSMA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 36479 . This is a "HEALTH NEW ENGLAND" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: AA33949 . This is a "HARVARD PILGRIM HEALTHCAR" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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