NPIMap

Organization Active NPI

Columbia Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Catskill, NY
National Provider Identifier
1912445412
Registry record updated Feb 3, 2017
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
159 Jefferson HTS
Suite D-107
Catskill, NY 12414-1237
Phone
(518) 828-9988
Fax
(518) 828-9980
NPI assigned
Feb 3, 2017
Last updated
Feb 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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) 697-3230

Specialties & licenses 1

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

Addresses

Primary practice location

159 Jefferson HTS
Suite D-107
Catskill, NY 12414-1237

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
03227290MedicaidNY

Other names 1

  • Columbia Memorial Gastroenterology Catskill 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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1912445412",
    "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": "159 JEFFERSON HTS",
            "address_2": "SUITE D-107",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141237",
            "telephone_number": "518-828-9988",
            "fax_number": "518-828-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "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": "518-697-3230"
    },
    "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": "Columbia Memorial Gastroenterology 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 Feb 3, 2017; 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.