NPIMap

Organization Active NPI

Columbia Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Hudson, NY
National Provider Identifier
1851775894
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
1001000H Issued in NY
Legal business name
COLUMBIA MEMORIAL HOSPITAL
Practice address
71 Prospect Ave
Suite 240
Hudson, NY 12534-2907
Phone
(518) 828-7601
NPI assigned
Jul 18, 2015
Last updated
Apr 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Shannon Ellsworth
Title
Operations Manager
Phone
(518) 828-8067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 1001000H NY Primary

Addresses

Primary practice location

71 Prospect Ave
Suite 240
Hudson, NY 12534-2907

Mailing address

PO Box 2000
Hudson, NY 12534-2000
Phone (518) 828-8051

Other identifiers 1

IdentifierTypeStateIssuer
03227290MedicaidNY

Other names 1

  • Medication Assisted Treatment Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Dilara Z Khandaker65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

71 Prospect Ave
Ste 240
Hudson, NY 12534
Phone (518) 697-3050

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1851775894",
    "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": "518-828-8051",
            "fax_number": "518-697-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PROSPECT AVE",
            "address_2": "SUITE 240",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342907",
            "telephone_number": "518-828-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "518-828-8067"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "1001000H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03227290",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medication Assisted Treatment Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.