Columbia Memorial Hospital

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

NPI 1992051023 · NPPES record last updated Jul 26, 2012

Key facts

NPI
1992051023
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
License
1001000H (NY)
Legal business name
COLUMBIA MEMORIAL HOSPITAL
Practice address
159 Jefferson HTS
Suite C-201
Catskill, NY 12414-1237
Phone
(518) 828-8190
Fax
(518) 697-7300
NPI assigned
Jul 26, 2012
Organization subpart
No

Authorized official

Name
Mr. Vincent J Dingman III
Title
Chief Financial Officer
Phone
(518) 828-8249

Corporate family (same tax ID) 12

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

159 Jefferson HTS
Suite C-201
Catskill, NY 12414-1237

Mailing address

PO Box 2000
Hudson, NY 12534-2000
Phone (518) 828-8363

Other identifiers

IdentifierTypeStateIssuer
W79533OtherNYMEDICARE GROUP

Other names

  • Diabetes Take Charge (Catskill) Other name

Other providers in Catskill, NY

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

Sources for this page

Verify at the official NPI Registry.