NPIMap

Columbia Memorial Hospital

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

NPI 1457050429 · NPPES record last updated Mar 22, 2023

Key facts

NPI
1457050429
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
COLUMBIA MEMORIAL HOSPITAL
Practice address
159 Jefferson HTS
Catskill, NY 12414-1237
Phone
(518) 943-1048
NPI assigned
Feb 28, 2023
Organization subpart
No

Authorized official

Name
Bryan T Mahoney
Title
Chief Financial Officer
Phone
(518) 828-8090

Corporate family (same tax ID) 24

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

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 Yes
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

159 Jefferson HTS
Catskill, NY 12414-1237

Mailing address

PO Box 2000
Hudson, NY 12534-2000

Other identifiers

IdentifierTypeStateIssuer
03227290MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 22, 2023.

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1457050429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 JEFFERSON HTS",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141237",
            "telephone_number": "518-943-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "518-828-8090"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03227290",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

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

Sources for this page

Verify at the official NPI Registry.