Columbia Memorial Hospital

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

1001000H Issued in NY

Legal business name

COLUMBIA MEMORIAL HOSPITAL

Practice address

71 Prospect Ave
Hudson, NY 12534

Phone

(518) 697-3200

NPI assigned

Jul 30, 2012

Last updated

Jul 17, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan T Mahoney

Title

Cfo

Phone

(518) 828-8090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Columbia Memorial Hospitalists Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel E Rhymaun, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Hudson, NY
  • NPI 1962718833
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1538415401",
    "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",
            "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": "71 PROSPECT AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "12534",
            "telephone_number": "518-697-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "518-828-8090"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "1001000H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "W79533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Memorial Hospitalists",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Columbia Memorial Hospitalists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 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

• Multi-Specialty Clinic/Center in Hudson, NY
• Providers in Hudson, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.