Columbia Memorial Hospital

Organization Active NPI Multi-Specialty Clinic/Center · Chatham, NY

NPI 1083969737 · NPPES record last updated Jul 19, 2016

Key facts

NPI
1083969737
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
License
1001000H (NY)
Legal business name
COLUMBIA MEMORIAL HOSPITAL
Practice address
31 Dardess Dr
Chatham, NY 12037-1438
Phone
(518) 392-1177
Fax
(518) 392-1199
NPI assigned
Jul 18, 2012
Organization subpart
No

Authorized official

Name
Mr. Bryan T Mahoney
Title
Chief Financial Officer
Phone
(518) 828-8249

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Hudson Family Care Cent (65 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 1001000H NY Yes

Addresses

Primary practice location

31 Dardess Dr
Chatham, NY 12037-1438

Mailing address

PO Box 2000
Hudson, NY 12534-2000
Phone (518) 828-8051

Other identifiers

IdentifierTypeStateIssuer
W79533OtherNYMEDICARE GROUP

Other names

  • Ghent Family Care Center Other name

Other providers in Chatham, NY

All providers in Chatham, NY · Multi-Specialty Clinic/Center in New York

Sources for this page

Verify at the official NPI Registry.