Provider Demographics
NPI:1770609117
Name:BAROCO CORPORATION
Entity type:Organization
Organization Name:BAROCO CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNARD
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:413-531-4775
Mailing Address - Street 1:17 NEW SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-4073
Mailing Address - Country:US
Mailing Address - Phone:413-531-4775
Mailing Address - Fax:413-585-9010
Practice Address - Street 1:195 RUSSELL ST
Practice Address - Street 2:4B
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9515
Practice Address - Country:US
Practice Address - Phone:413-584-1673
Practice Address - Fax:413-584-1716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1308084Medicare ID - Type UnspecifiedPROVIDER NUMBER