# COLUMBIA MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215265517
- **Authorized official:** MR. VICENT J DINGMAN III (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (518) 828-8249

## Contact information

- **Practice address:** 71 PROSPECT AVENUE, DENTAL PROGRAM, HUDSON, NY 12534
- **Practice address phone:** (518) 669-7892
- **Practice address fax:** (518) 669-7893
- **Mailing address:** 71 PROSPECT AVE, HUDSON, NY 12534-2907
- **Mailing address phone:** (518) 669-7892
- **Mailing address fax:** (518) 669-7893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 1001000H | NY | Yes |

## Other

- **Enumeration date:** 11/24/2009
- **Last updated:** 11/24/2009