# COLUMBIA MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Columbia Memorial Psychiatric and Psychotherapy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578079489
- **Authorized official:** MR. BRYAN T MAHONEY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (518) 828-8090

## Contact information

- **Practice address:** 2827 US ROUTE 9, P O BOX 785, VALATIE, NY 12184-0785
- **Practice address phone:** (518) 697-8010
- **Practice address fax:** (518) 697-8011
- **Mailing address:** PO BOX 2000, HUDSON, NY 12534-2000
- **Mailing address phone:** (518) 828-8334
- **Mailing address fax:** (518) 697-3117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 1001000H | NY | Yes |

## Other

- **Enumeration date:** 12/15/2017
- **Last updated:** 12/15/2017