Berkshire Mobile Medicine, P.c.
Physician Assistant, Medical in Lanesborough, Massachusetts
1972853604- Practice location
- 20 Williamstown RD Ste 4, Lanesborough, MA 01237-9548
- Phone
- 413-445-6800
- Fax
- 413-707-4959
- Last updated
- August 7, 2023
Berkshire Mobile Medicine, P.c. is a healthcare organization based in Lanesborough, MA. Berkshire Mobile Medicine, P.c. practices in Lanesborough, MA. The NPI Number for Berkshire Mobile Medicine, P.c. is 1972853604 and holds a License No. 156843 (MA). The current practice location address for Berkshire Mobile Medicine, P.c. is 20 Williamstown RD Ste 4, Lanesborough, MA 01237-9548 and can be reached out via phone at 413-445-6800 and via fax at 413-707-4959.
Provider Profile Details
- NPI Number
- 1972853604
- Provider Name
- Berkshire Mobile Medicine, P.c.
- Provider Entity Type
- Organization
- Address
- 20 Williamstown RD Ste 4, Lanesborough, MA 01237-9548
- Phone Number
- 413-445-6800
- Fax Number
- 413-707-4959
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Organization Subpart
- No
- Authorized Official
- Jeffrey J Kellogg, PA · President · 413-445-6800
- Other Names
- Greylock Medical Clinic (Doing Business As)
- Provider Enumeration Date
- September 10, 2012
- Last Update Date
- August 7, 2023
- Certification Date
- August 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Williamstown RD Ste 4
Lanesborough, MA 01237-9548 - City
- Lanesborough
- State
- Massachusetts
- Zip
- 01237-9548
- Phone Number
- 413-445-6800
- Fax Number
- 413-707-4959
Provider Business Mailing Address Details
- Address
- 20 Williamstown RD Ste 4
Lanesborough, MA 01237-9548 - City
- Lanesborough
- State
- MA
- Zip
- 01237-9548
- Phone Number
- 413-445-6800
- Fax Number
- 413-707-4959
License Information
- License Number (1)
- 156843
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 1520
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Lanesborough, MA
View all Physician Assistant, Medical providers in Lanesborough →Frequently Asked Questions
What is the NPI number of Berkshire Mobile Medicine, P.c.?
The NPI number of Berkshire Mobile Medicine, P.c. is 1972853604. It was assigned on September 10, 2012 and is currently active in the NPPES registry.
What is the specialty of Berkshire Mobile Medicine, P.c.?
Berkshire Mobile Medicine, P.c. is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number 156843.
Where does Berkshire Mobile Medicine, P.c. practice?
The practice location is 20 Williamstown RD Ste 4, Lanesborough, MA 01237-9548. The office can be reached at 413-445-6800 (phone) or 413-707-4959 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972853604 directly on the NPPES registry website.