COLUMBIA MEMORIAL HOSPITAL (NPI# 1720333479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720333479 |
| Entity Type | Organization |
| Organization Name | COLUMBIA MEMORIAL HOSPITAL |
| Other Organization Name | CALLAN FAMILY CARE CENTER |
| Practice Address |
283 Mountain View Rd Copake NY 12516-1201 |
| Mailing Address |
Po Box 2000 Hudson NY 12534-2000 |
| Practice Telephone | 5183293900 |
| Practice Fax Number | 5183291040 |
| Mailing Telephone | 5188288051 |
| Mailing Fax Number | 5186973117 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | MR. BRYAN MAHONEY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5188288249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
1001000H | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE GROUP | W79533 | 01 |
| Other Name | Type Code |
|---|---|
| Callan Family Care Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497001358 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave Ste 190, Hudson, NY 12534 | 2012-07-30 |
| 1477809325 | Columbia Memorial Hospital | Clinic/Center | 159 Jefferson Hts Ste D107, Catskill, NY 12414-1205 | 2012-07-30 |
| 1619222361 | Columbia Memorial Hospital | Clinic/Center | 345 State Route 296, Hensonville, NY 12439-5109 | 2012-07-18 |
| 1326317223 | Columbia Memorial Hospital | Clinic/Center | 2827 Us Route 9, Valatie, NY 12184-0785 | 2011-12-21 |
| 1073621991 | Columbia Memorial Hospital | Psychiatric Unit | 71 Prospect Avenue, Hudson, NY 12534-2907 | 2006-08-29 |
| 1386639771 | Columbia Memorial Hospital | Skilled Nursing Facility | 161 Jefferson Hts, Catskill, NY 12414-1239 | 2005-09-13 |
| 1194386680 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Hudson, NY 12534-2907 | 2019-06-25 |
| 1346749793 | Columbia Memorial Hospital | Clinic/Center | 159 Jefferson Hts Ste D107, Catskill, NY 12414-1205 | 2018-02-12 |
| 1578079489 | Columbia Memorial Hospital | Clinic/Center | 2827 Us Route 9, P O Box 785, Valatie, NY 12184-0785 | 2017-12-15 |
| 1912445412 | Columbia Memorial Hospital | Clinic/Center | 159 Jefferson Hts, Suite D-107, Catskill, NY 12414-1237 | 2017-02-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COLUMBIA MEMORIAL HOSPITAL | 2111 Exchange St, Astoria, OR 97103 |
| Oregon Corporations, Companies and Business Names | COLUMBIA MEMORIAL HOSPITAL FOUNDATION | 2111 Exchange St, Astoria, OR 97103 |
| System for Award Management (SAM) Entities | COLUMBIA MEMORIAL HOSPITAL, THE | 71 Prospect Ave, Hudson, NY 12534-2907 |
| Street Address |
283 MOUNTAIN VIEW RD |
| City | COPAKE |
| State | NY |
| Zip Code | 12516-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316925233 | Clausson-raught Community Rescue Squad Inc | Ambulance | 283 Mountain View Rd, Copake, NY 12516-1201 | 2006-01-03 |
| 1073960225 | Columbia Memorial Hospital | Clinic/Center | 283 Mountain View Rd, Copake, NY 12516-1201 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992014286 | Lisa Rene Mckinney | Speech-Language Pathologist | 744 Glasco Turnpike, Mt. Marion, NY 12516 | 2010-10-04 |
| 1760791321 | Margaret Ruth Rosenthaler | Registered Nurse | 43 Ring Road, Copake, NY 12516 | 2010-09-30 |
| 1710161740 | Barbara Susan Herman | Registered Nurse | 84 Camphill Road, Copake, NY 12516 | 2007-12-27 |
| 1669455093 | Davco Drug Co Inc | Pharmacy | 69 Main Street, Copake, NY 12516 | 2005-11-21 |
| 1225352354 | Helene Marie Walsh | Pharmacist | 69 Main St., Copake, NY 12516 | 2010-03-18 |
| 1649502972 | Hugh Walter Davis | Pharmacist | 69 Main Street, Copake, NY 12516-0010 | 2010-02-11 |
| 1114171709 | Patricia Margaret Mcclain | Speech-Language Pathologist | 1265 Lakeview Rd, Copake, NY 12516-1026 | 2008-11-09 |
| 1801229299 | Angela Gabriele Graetz | Physical Therapist | 189 County Route 7a, Copake, NY 12516-1215 | 2013-08-21 |
| 1104862291 | George F Davis | Family Medicine | 358 Mountain View Rd, Copake, NY 12516-1239 | 2006-06-20 |
| 1114953718 | Beverly H Kinne | Nurse Practitioner | 358 Mountain View Rd, Copake, NY 12516-1239 | 2006-06-24 |
| Find all providers in zip 12516 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073960225 | Columbia Memorial Hospital | Clinic/Center | 283 Mountain View Rd, Copake, NY 12516-1201 | 2016-05-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.