Organization
COLUMBIA MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON M ELLSWORTH (OPERATIONS MANAGER)
(518) 828-8067
Entity
Organization
Contact information
Practice address
71 PROSPECT AVENUE, HUDSON, NY 12534-2907
(518) 828-8099
(518) 697-3041
Mailing address
71 PROSPECT AVENUE, HUDSON, NY 12534-2907
(518) 828-8099
(518) 697-3041
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
1001000H
NY
Other
Enumeration date
08/29/2006
Last updated
01/07/2008
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