COLUMBIA MEMORIAL HOSPITAL (NPI# 1073621991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073621991 |
| Entity Type | Organization |
| Organization Name | COLUMBIA MEMORIAL HOSPITAL |
| Practice Address |
71 Prospect Avenue Hudson NY 12534-2907 |
| Practice Telephone | 5188288099 |
| Practice Fax Number | 5186973041 |
| Mailing Telephone | 5188288099 |
| Mailing Fax Number | 5186973041 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-01-07 |
| Authorized Official Name | SHANNON M ELLSWORTH (OPERATIONS MANAGER) |
| Authorized Official Telephone | 5188288067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 1001000H | NY | Hospital Units |
| 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 |
| 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 |
| 1437694288 | Columbia Memorial Hospital | Emergency Medicine | 2111 Exchange St, Astoria, OR 97103-3329 | 2017-01-04 |
| 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 |
71 PROSPECT AVENUE |
| City | HUDSON |
| State | NY |
| Zip Code | 12534-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215265517 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Avenue, Dental Program, Hudson, NY 12534 | 2009-11-24 |
| 1215137591 | Brianna Katherine Fuller | Physician Assistant | 71 Prospect Avenue, Hudson, NY 12534 | 2007-07-24 |
| 1598979130 | Kristin S Kreig | Physical Therapy Assistant | 71 Prospect Avenue, Columbia Memorial Hospital, Hudson, NY 12534 | 2007-05-10 |
| 1942362009 | Michael Usher Weisberg | Emergency Medicine | 71 Prospect Avenue, Columbia Memorial Hospital, Hudson, NY 12534 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426446 | Sharyn Ann Flesher | Registered Nurse | 131 Union Turnpike, Columbia-greene Education Center, Hudson, NY 12534 | 2015-05-08 |
| 1205239233 | Rachel N Lopez | Nurse Practitioner | 67 Prospect Avenue, Suite 250, Hudson, NY 12534 | 2014-10-05 |
| 1649601535 | Joan Delisca Groll | Registered Nurse | 215 Harry Howard Avenue, Hudson, NY 12534 | 2013-12-03 |
| 1497001358 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave Ste 190, Hudson, NY 12534 | 2012-07-30 |
| 1366751653 | Carri Coons | Licensed Practical Nurse | 140 Maple Lane Lot 85, Husdon, NY 12534 | 2010-10-04 |
| 1013244185 | Richard B Weininger | Internal Medicine | 125 Millbrook Road, Hudson, NY 12534 | 2009-11-11 |
| 1417196155 | Triform Enterprises Ltd. | Day Training, Developmentally Disabled Services | 20 Triform Road, Hudson, NY 12534 | 2009-02-19 |
| 1881854966 | Foot Specialist Associates P.C. | Podiatrist | 540 Joslen Boulevard, Hudson, NY 12534 | 2008-06-12 |
| 1659558989 | Gary L Stoller | Dentist | 5 Mckinstry Pl, Hudson, NY 12534 | 2008-01-29 |
| 1255523502 | Pulcher & Sacco Inc | Bus | 469 Fairview Ave, Hudson, NY 12534 | 2007-08-10 |
| Find all providers in zip 12534 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063861078 | Union Community Health Center | Psychiatric Unit | 260 Eats 188th Street, Bronx, NY 10458-5302 | 2016-06-09 |
| 1033579446 | Pura Garcia-serrablo | Psychiatric Unit | 21006 42nd Ave, Apt. 1e, Bayside, NY 11361-2771 | 2016-02-26 |
| 1376916635 | Edith | Psychiatric Unit | 2123 41st St, 1st Floor, Astoria, NY 11105-1708 | 2015-11-09 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1366868218 | Brian Connelly | Psychiatric Unit | 27 Cheryl Dr, Shoreham, NY 11786-2356 | 2014-03-14 |
| 1104253772 | Pederson-krag | Psychiatric Unit | 77 Radcliffe Ave., Farmingdale, NY 11735 | 2013-09-27 |
| 1942544903 | Grand Manor Nursing Home | Psychiatric Unit | 922 E 222nd St, Apt 1, Bronx, NY 10469-1018 | 2012-11-15 |
| 1407126931 | Jon Ehinger | Psychiatric Unit | 441 16th St Apt 2r, Brooklyn, NY 11215-5892 | 2011-12-30 |
| 1497022800 | Creedmor Psychiatric Center | Psychiatric Unit | 7925 Winchester Boulevard, Creedmoor Psychiatric Center Medical Education, Queens Village, NY 11427 | 2011-11-30 |
| 1750608998 | Nyp Columbia | Psychiatric Unit | 4588 Broadway, 622 West 168th St, New York, NY 10040-2101 | 2010-04-28 |
| Find all providers with the same taxonomy | ||||
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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.