| Mountain Medicine Pc | |
|
1450 East St Ste 6n Pittsfield MA 01201-5319 | |
| (413) 442-4700 | |
| (413) 442-4711 |
| Full Name | Mountain Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1450 East St Ste 6n, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Christine M Dagostino (TREASURER) |
| Authorized Official Contact | 4134424700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Medicine Pc 1565 Hancock Rd Williamstown MA 01267 Ph: (413) 442-4700 | Mountain Medicine Pc 1450 East St Ste 6n Pittsfield MA 01201-5319 Ph: (413) 442-4700 |
| NPI Number | 1679531354 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 10/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679531354 | NPI | - | NPPES |
| 3183386 | Medicaid | MA | |
| 8906530002 | Other | CIGNA | |
| MD0341139AR | Other | MA CONTROL # | |
| 156843 | Other | TUFTS | |
| 32023 | Other | HNE | |
| J19130 | Other | MA BLUE SHIELD | |
| 3183386 | Other | MASS HEALTH | |
| 111654 | Other | MVP | |
| 11S654 | Other | MVP/PIN # | |
| 16095 | Other | NHP | |
| 3516813 | Other | AETNA | |
| 000000020879 | Other | BERKSHIRE HEALTH NET | |
| 000000028890 | Other | BMC HEALTH NET | |
| 1006517 | Other | VT MEDICAID | |
| 156843 | Other | MA LICENSE | |
| 3183386 | Other | MA MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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