NPIMap

Organization Active NPI

Columbia Memorial Regional Medical PLLC

  • Multi-Specialty Clinic/Center
  • Catskill, NY
National Provider Identifier
1689267288
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
COLUMBIA MEMORIAL REGIONAL MEDICAL PLLC
Practice address
10 Grandview Ave
Catskill, NY 12414-2010
Phone
(518) 943-9100
NPI assigned
Feb 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

10 Grandview Ave
Catskill, NY 12414-2010

Mailing address

PO Box 2000
Hudson, NY 12534-2000
Phone (518) 697-3258

Other names 1

  • CMH Rapid Care- Catskill Other name

National Provider Directory

National Provider Directory
Tax ID family
CMH Rapid Care- Catskill4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1689267288",
    "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": "518-697-3258",
            "fax_number": "518-828-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GRANDVIEW AVE",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124142010",
            "telephone_number": "518-943-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEMORIAL REGIONAL MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMH Rapid Care- Catskill",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CMH Rapid Care- Catskill",
            "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 Jul 21, 2021; 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.