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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03227290
—
NY
Enumeration date
07/18/2015
Last updated
04/09/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us