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Contact Information

BERKSHIRE FARM CENTER AND SERVICES FOR YOUTH
1059 SILBEY TOWER BUILDING
MEDICAID SERVICE COORDINATION PROGRAM
ROCHESTER, NY14604
 Phone: 585-454-1620
 Fax: 585-454-6814
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for BERKSHIRE FARM CENTER AND SERVICES FOR YOUTH

NPI Number 1851430813
LBN Legal business name BERKSHIRE FARM CENTER AND SERVICES FOR YOUTH
Authorized official JOHN COX - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # 0501010545
NY Medicaid 02388058
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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