Organization
COLUMBIA MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU STAIB (PROVIDER ENROLLMENT SPECIALIST)
(518) 697-3258
Entity
Organization
Contact information
Practice address
10 GRANDVIEW AVENUE, CATSKILL, NY 12414
(518) 943-9100
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8051
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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