Organization
COLUMBIA MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN T MAHONEY (CHIEF FINANCIAL OFFICER)
(518) 828-8090
Entity
Organization
Contact information
Practice address
159 JEFFERSON HTS, CATSKILL, NY 12414-1237
(518) 943-1048
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03227290
—
NY
Enumeration date
02/28/2023
Last updated
03/22/2023
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