Columbia Memorial Hospital

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

NPI 1578079489 · NPPES record last updated Dec 15, 2017

Key facts

NPI
1578079489
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
License
1001000H (NY)
Legal business name
COLUMBIA MEMORIAL HOSPITAL
Practice address
2827 US Route 9
P O Box 785
Valatie, NY 12184-0785
Phone
(518) 697-8010
Fax
(518) 697-8011
NPI assigned
Dec 15, 2017
Organization subpart
No

Authorized official

Name
Mr. 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 1001000H NY Yes

Addresses

Primary practice location

2827 US Route 9
P O Box 785
Valatie, NY 12184-0785

Mailing address

PO Box 2000
Hudson, NY 12534-2000
Phone (518) 828-8334

Other identifiers

IdentifierTypeStateIssuer
03227290MedicaidNY

Other names

  • Columbia Memorial Psychiatric and Psychotherapy Center Other name

Other providers in Valatie, NY

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

Sources for this page

Verify at the official NPI Registry.