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Organization
COLUMBIA MEMORIAL HOSPITAL
Active
Organization
COLUMBIA MEMORIAL HOSPITAL
Active
Other names
Medication Assisted Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON ELLSWORTH (OPERATIONS MANAGER)
(518) 828-8067
Entity
Organization
Contact information
Practice address
71 PROSPECT AVE, SUITE 240, HUDSON, NY 12534-2907
(518) 828-7601
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8051
(518) 697-3117
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
1001000H
NY
Other
Enumeration date
07/18/2015
Last updated
04/09/2019
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