Columbia Memorial Hospital
Organization Active NPI General Acute Care Hospital · Hudson, NY
NPI 1528024718 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1528024718
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- COLUMBIA MEMORIAL HOSPITAL
- Practice address
- 71 Prospect Ave
Hudson, NY 12534-2907 - Phone
- (518) 828-8070
- NPI assigned
- Apr 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Bryan T Mahoney
- Title
- Cfo
- Phone
- (518) 828-8090
Owners & managing parties with NPI records 3
-
Dennis Patrick McKenna, M.D.
-
Jason Mouzakes, MD
-
Steven Parnes, MD
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 24
Related certifications (CCN) 3
Practitioners 196
-
Ayman Abdelhamid, MD
-
Hiral Amin, MD
-
Vinny Anand, M.D.
-
Rakel M Astorga, M.D.
-
Guirlaine Blot-Sanon, D.O
-
Christine Byrnes, N.P.
-
Justin Chua, MD
-
H Louis Clinton, MD
-
Melissa Ann Couse, PMHNP
-
Heidi Dambach, MD
-
Peter Augustus Franklin, M.D.
-
Christopher T Gorczynski, M.D.
-
Jennifer L Gsell, NP
-
Wayne Maben, MD
-
Robert Magee, MD
-
Edward M Marici, D.O.
-
Brian Edward McCauley, M.D.
-
Princewill O Ogbuji, M.D.
-
Monica R Reed, MD
Affiliated clinicians 550
-
Ayman Abdelhamid, MD
-
Linda M Abriel, NP
-
Evan Adelstein, MD
-
Salma Akter, M.D.
-
William George Alderisio, M.D.
-
Michael Robert Allen, M.D.
-
Hiral Amin, MD
-
Vinny Anand, M.D.
-
Tomasz Andrejuk, M.D.
-
Charles Argoff, MD
-
Brian Nicholas Arnold, M.D.
-
Bilal M Ashqar, MD
-
Rakel M Astorga, M.D.
-
Blake Atwood, CRNA
-
Manek Aulakh, M.D.
-
Hank T Bacon, D.O.
-
Todd E Baldwin, DO
-
Michael Ballard, PA-C
-
Joyce N Barlin, M.D.
Medicare Care Compare: Hospital
- Listed as
- Columbia Memorial Hospital
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Hospital certification: CCN 330094
- Legal name
- COLUMBIA MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Sep 13, 2023
- Beds
- 124
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jan 1, 1988 (2 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 7, 1889 in NY
- Enrollment address
- 71 Prospect Ave
Hudson, NY 12534-2907 - Hospital subgroups
- Acute care, Psychiatric unit
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Dennis P McKenna |
Corporate Director | Jun 5, 2024 | |
| Margaret J Gillis |
Corporate Director | Jun 5, 2024 | |
| Mary G Biebel |
Corporate Director | Jun 5, 2024 | |
| Bryan T Mahoney |
Corporate Officer |
Apr 1, 2016 | 100% |
| Operational/Managerial Control |
Apr 1, 2016 | 100% | |
| James J Barba |
Corporate Director | Jun 5, 2024 | |
| Theresa M Skaine |
Corporate Director | Jun 5, 2024 | |
| James E Cullum |
Corporate Director | Jun 5, 2024 | |
| Steven Parnes |
Corporate Director | Jun 5, 2024 | |
| Kirk Kneller |
Corporate Director |
Apr 1, 2014 | |
| Jeffrey D Stone |
Corporate Officer | Jun 5, 2024 | |
| Douglas Hamlin |
Corporate Director | Jun 5, 2024 | |
| George a Ferone |
Corporate Director | Jun 5, 2024 | |
| Sharon M Duker |
Corporate Director |
Jul 1, 2021 | |
| Ruth H Mahoney |
Corporate Director | Jun 5, 2024 | |
| Anthony M Durante |
Corporate Director | Jun 5, 2024 | |
| Raimundo C Archibold |
Corporate Director | Jun 5, 2024 | |
| Dorothy Urschel |
Corporate Officer |
Jan 1, 2020 | 100% |
| Courtney Haskins |
Corporate Director | Jun 5, 2024 | |
| Thomas Guay |
Corporate Officer | Jun 5, 2024 | |
| Michael R Irwin |
Corporate Director |
Jul 26, 2021 | |
| Jason Mouzakes |
Corporate Director | Jun 5, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071126000248 | NY | Part a Provider - Hospital | 5092709410 | Practice locations: Cairo, NY; Valatie, NY; Hudson, NY; Hensonville, NY; Copake, NY; Chatham, NY; Catskill, NY |
National Provider Directory
- Tax ID family
- Hudson Family Care Cent
Locations
4383 Route 23
Cairo, NY 12413
Phone (518) 622-8525
4383 Route 23
Ste 2
Cairo, NY 12413
159 Jefferson Hts
Ste D106
Catskill, NY 12414
Phone (518) 943-0212
159 Jefferson Hts
Ste C104
Catskill, NY 12414
Phone (518) 697-8010
10 Grandview Ave
Catskill, NY 12414
Phone (518) 943-9100
159 Jefferson Hts
Ste 104
Catskill, NY 12414
45 5 Mile Woods Rd
Catskill, NY 12414
Phone (518) 234-9450
41 Prospect Ave Ste L40
Hudson, NY 12534
71 Prospect Ave
Ste 230
Hudson, NY 12534
Phone (518) 697-5467
810 Union St
Hudson, NY 12534
Phone (518) 822-0746
848 Columbia St
Hudson, NY 12534
Phone (518) 828-2565
1 Newman Rd
Hudson, NY 12534
Phone (518) 828-1400
71 Prospect Ave
Ste 140
Hudson, NY 12534
Phone (518) 822-1124
71 Prospect Ave
Ste 130
Hudson, NY 12534
Phone (518) 697-3540
71 Prospect Ave
Ste 240
Hudson, NY 12534
Phone (518) 697-3050
17 Glen Pond Dr
Bldg A
Red Hook, NY 12571
1301 River St
Ste 105
Valatie, NY 12184
Phone (518) 758-6575
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
71 Prospect Ave
Hudson, NY 12534-2907
Mailing address
71 Prospect Ave
Hudson, NY 12534-2907
Other providers in Hudson, NY
- Columbia Memorial Hospital
- Columbia Memorial Hospital
- Columbia Memorial Hospital
- Columbia Memorial Hospital
- Columbia Memorial Hospital
- Columbia Memorial Hospital
- Columbia Memorial Hospital
- Columbia Memorial Hospital
- Columbia Memorial Hospital
- Columbia Memorial Hospital
All providers in Hudson, NY · General Acute Care Hospital in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.