# COLUMBIA MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Columbia Memorial Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356945778
- **Authorized official:** BRYAN T MAHONEY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (518) 828-8090

## Contact information

- **Practice address:** 2827 US ROUTE 9, VALATIE, NY 12184
- **Practice address phone:** (518) 392-2277
- **Mailing address:** PO BOX 2000, HUDSON, NY 12534-2000
- **Mailing address phone:** (518) 697-3258
- **Mailing address fax:** (518) 828-8183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2020
- **Last updated:** 11/25/2020