1942720214 NPI number — COMMUNITY HEALTH PROGRAMS, INC.

Table of content: LEE DENNIS BARRO MD (NPI 1316943384)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942720214 NPI number — COMMUNITY HEALTH PROGRAMS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMMUNITY HEALTH PROGRAMS, 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:
1942720214
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/05/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 30
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREAT BARRINGTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01230
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-528-9311
Provider Business Mailing Address Fax Number:
413-644-0274

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CHP BERKSHIRE PEDIATRICS
Provider Second Line Business Practice Location Address:
777 NORTH STREET. SUITE 305
Provider Business Practice Location Address City Name:
PITTSFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
10201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-499-8531
Provider Business Practice Location Address Fax Number:
413-499-8560
Provider Enumeration Date:
06/27/2017

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF HUMAN RESOURCES AND COMPLIAN
Authorized Official Telephone Number:
413-528-9311

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , 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)





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