Berkshire Medical Center, Inc.
Organization Active NPI Rehabilitation Hospital Unit · Pittsfield, MA
NPI 1124184494 · NPPES record last updated Mar 19, 2008
Key facts
- NPI
- 1124184494
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- License
- VQKK (MA)
- Legal business name
- BERKSHIRE MEDICAL CENTER, INC.
- Practice address
- 725 North St
Pittsfield, MA 01201-4109 - Phone
- (413) 447-2000
- Fax
- (413) 447-2803
- NPI assigned
- Dec 29, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BERKSHIRE MEDICAL CENTER, INC.
Authorized official
- Name
- Mrs. Darlene Rodowicz
- Title
- Chief Financial Officer
- Phone
- (413) 447-2000
Owners & managing parties with NPI records 12
-
Ashley Benson, LICSW
-
Jason Michael Bratcher, M.D.
-
Edmund H Hornstein, D.O.
-
Alec R Belman, MD
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 12
Related certifications (CCN) 1
Facilities with the same owner 10
Practitioners 196
-
Erik S Adler, D.O.
-
Yogeld Andre, CRNA
-
Julie Ellen Barbour, RD, LDN
-
David Bartels, M.D.
-
Devan Darby Bartels, MD, MPH
-
Michelle Jeanne Bienvenue, LICSW
-
Gabriella Bilyeu, DO
-
Maxim Bitunov, M.D.
-
Ashley Boeri, MD
-
Jennifer Boomhower, RD, CSR, CDN
-
Nicole Buchanan, CRNA
-
Brenda J Butler, M.D.
Affiliated clinicians 5
-
Katie Melinda Hatt, D.O.
-
Andree M Leroy, M.D.
-
Priya Sreedharan, M.D.
-
Anna Weingart, M.D.
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Berkshire Medical Center
- Ownership
- Non-profit
- Certified
- Oct 1, 1985
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Hospital certification: CCN 22T046
- Legal name
- BERKSHIRE MEDICAL CENTER INC
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 725 North Street
Pittsfield, MA 12014109 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 29
| Name | Role | Since | Share |
|---|---|---|---|
| David Hall |
Corporate Director | Jan 1, 2019 | |
| Alfred a Barbalunga |
Corporate Director | Sep 12, 2017 | |
| Susan Kormanik |
Corporate Director | Jan 1, 2023 | |
| Berkshire Medical Center Inc |
5% Or Greater Direct Ownership Interest | Nov 2, 1990 | 100% |
| Deborah Renzi |
Corporate Officer |
Jan 1, 2024 | |
| Leticia S E Haynes |
Corporate Director |
Jan 1, 2021 | |
| Jeannette Smith |
Corporate Officer |
Jan 1, 2024 | |
| Brenda Cadorette |
Corporate Officer |
Jun 5, 2011 | |
| W-2 Managing Employee |
Jun 5, 2011 | ||
| Edith Dobelle |
Corporate Director | Sep 12, 2017 | |
| BHS Management Services Inc |
Operational/Managerial Control | Oct 1, 1990 | |
| David Moresi |
Corporate Director | Aug 9, 2022 | |
| Lisa Lescarbeau |
Corporate Director |
Jan 1, 2025 | |
| Anakatina Cordon Suffish |
Corporate Director | Aug 9, 2022 | |
| Kathleen M McCormick |
Corporate Director | Jan 1, 2023 | |
| Laurie Moffatt |
Corporate Director | Jan 1, 2023 | |
| Alec R Belman |
Corporate Director | Oct 1, 2022 | |
| Shaun V. Cusson |
Corporate Officer |
Jan 1, 2024 | |
| Albert a Bravo |
Corporate Director | Apr 9, 2019 | |
| James Lederer |
Corporate Officer |
Jan 13, 2020 | |
| Matthew Lauro |
Corporate Officer |
Jan 1, 2025 | |
| Berkshire Health System Inc |
5% Or Greater Indirect Ownership Interest | Nov 2, 1990 | 100% |
| Edmund H Hornstein |
Corporate Director | Apr 9, 2019 | |
| Ashley Benson |
Corporate Officer |
Jan 1, 2025 | |
| Frederick W Puddester |
Corporate Director | Jan 1, 2023 | |
| Scott St George |
Corporate Officer |
Nov 2, 2020 | |
| Richard Alcombright |
Corporate Director | Jan 1, 2019 | |
| Jason M Bratcher |
Corporate Officer |
Jan 1, 2025 | |
| Robert Cella |
Corporate Director | Sep 12, 2017 | |
| Darlene M Rodowicz |
Corporate Officer |
Jan 1, 2005 | |
| Corporate Director | Jan 1, 2005 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Berkshire Medical Center Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 2, 1990 |
| Berkshire Visiting Nurse Association |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Nov 2, 1990 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080107000175 | MA | Part a Provider - Hospital | 1355232711 | Practice locations: Pittsfield, MA |
National Provider Directory
- Tax ID family
- Berkshire Medical Cente
- Part of
- Berkshire Medical Cente
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | VQKK | MA | Yes |
Addresses
Primary practice location
725 North St
Pittsfield, MA 01201-4109
Mailing address
725 North St
PO Box 4999
Pittsfield, MA 01201-4109
Phone (413) 447-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1099981 | Medicaid | MA | |
| 220046 | Other | HUMANA | |
| 2222004601 | Other | MA | BLUE CROSS INPT |
| 2222004610 | Other | MA | BLUE CROSS OUTPT |
| 6300730 | Other | AETNA | |
| 900201 | Other | TUFTS HEALTH PLAN OUTPT | |
| 1200143 | Medicaid | MA | |
| 20300 | Other | MA | BMC HEALTH NET PLAN |
| 220046 | Other | MA | UNICARE MA EMPLOYEE GIC |
| 10558 | Other | HEALTH NEW ENGLAND | |
| 2222004630 | Other | MA | BLUE CROSS SDC |
| 991396 | Other | CONNECTICARE | |
| MVP | Other | 0160 | |
| HO1478 | Other | OXFORD | |
| 260158 | Other | MAGELLAN BEHAVIORAL HEALT | |
| 10005746 | Other | CDPHP | |
| 900357 | Other | HARVARD PILGRIM HEALTH | |
| 905652 | Other | TUFTS HEALTH PLAN INPT |
Other providers in Pittsfield, MA
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- Berkshire Medical Center, Inc
- Berkshire Medical Center, Inc.
- Berkshire Medical Center, Inc.
- Berkshire Medical Center, Inc.
- Berkshire Medical Center, Inc.
- Berkshire Medical Group PC
All providers in Pittsfield, MA · Rehabilitation Hospital Unit in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.