Provider Demographics
NPI:1689707812
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 1:2 S BRIDGE DR
Practice Address - Street 2:SUITE 11
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-2000
Practice Address - Country:US
Practice Address - Phone:413-789-3963
Practice Address - Fax:413-789-2389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
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
MA1305026Medicaid