Organization
COLUMBIA MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN T MAHONEY (CFO)
(518) 828-8090
Entity
Organization
Contact information
Practice address
159 JEFFERSON HTS STE D107, CATSKILL, NY 12414-1205
(518) 943-1442
(518) 697-5348
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8334
(518) 828-8009
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
1001000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W79533
MEDICARE GROUP
NY
Enumeration date
07/30/2012
Last updated
10/17/2017
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