| East Mountain Medical | |
|
780 Main St Great Barrington MA 01230-2148 | |
| (413) 528-8643 | |
| Not Available |
| Full Name | East Mountain Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 780 Main St, Great Barrington, Massachusetts |
| Authorized Official Name and Position | Darlene M Rodowicz (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4134473003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Mountain Medical Po Box 1728 Pittsfield MA 01202-1728 Ph: (413) 447-3003 | East Mountain Medical 780 Main St Great Barrington MA 01230-2148 Ph: (413) 528-8643 |
| NPI Number | 1881252286 |
|---|---|
| Provider Enumeration Date | 05/31/2019 |
| Last Update Date | 02/12/2020 |
| Medicare PECOS PAC ID | 1254240773 |
|---|---|
| Medicare Enrollment ID | O20191104001304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881252286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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