Active NPI
Columbia Memorial Hospital
- Skilled Nursing Facility
- Catskill, NY
National Provider Identifier
1386639771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1001000N
- Legal business name
- COLUMBIA MEMORIAL HOSPITAL
- Practice address
- 161 Jefferson HTS
Catskill, NY 12414-1239 - Phone
- (518) 697-3258
- Fax
- (518) 697-3041
- NPI assigned
- Sep 13, 2005
- Last updated
- May 12, 2011
- Organization subpart
- Yes
- Parent organization
- COLUMBIA MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Siedsma
- Title
- Director of Patient Accounts
- Phone
- (518) 828-8099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1001000N | NY | Primary |
Addresses
Primary practice location
161 Jefferson HTS
Catskill, NY 12414-1239
Mailing address
71 Prospect Ave
P O Box 2000
Hudson, NY 12534-2907
Phone (518) 828-8363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01050513 | Medicaid | NY |
Other names 1
- Kaaterskill Care Nursing & Rehabilitation Center
National Provider Directory
National Provider Directory- Part of
- Columbia Urology Center
Locations
161 Jefferson Hts
Catskill, NY 12414
Phone (205) 535-7389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305158400000",
"number": "1386639771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 PROSPECT AVE",
"address_2": "P O BOX 2000",
"city": "HUDSON",
"state": "NY",
"postal_code": "125342907",
"telephone_number": "518-828-8363",
"fax_number": "518-697-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 JEFFERSON HTS",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124141239",
"telephone_number": "518-697-3258",
"fax_number": "518-697-3041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COLUMBIA MEMORIAL HOSPITAL",
"enumeration_date": "2005-09-13",
"last_updated": "2011-05-12",
"status": "A",
"authorized_official_last_name": "SIEDSMA",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
"authorized_official_telephone_number": "518-828-8099"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "1001000N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01050513",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kaaterskill Care Nursing & Rehabilitation Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Catskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.