COLUMBIA MEMORIAL HOSPITAL (NPI# 1174879019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174879019 |
| Entity Type | Organization |
| Organization Name | COLUMBIA MEMORIAL HOSPITAL |
| Other Organization Name | PRIME MEDICAL (HUDSON) |
| Practice Address |
949 Columbia St Hudson NY 12534-2624 |
| Mailing Address |
Po Box 2000 Hudson NY 12534-2000 |
| Practice Telephone | 5188287188 |
| Practice Fax Number | 5188285049 |
| Mailing Telephone | 5188288363 |
| Mailing Fax Number | 5186973388 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | MR. VINCENT J DINGMAN III (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 |
|---|---|
| Prime Medical (Hudson) | 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 |
949 COLUMBIA ST |
| City | HUDSON |
| State | NY |
| Zip Code | 12534-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232917 | Clarence B Henry | Internal Medicine | 949 Columbia St, Hudson, NY 12534-2624 | 2005-08-12 |
| 1710132618 | Olena Bilyk | Physician Assistant | 949 Columbia St, Hudson, NY 12534-2624 | 2008-11-20 |
| 1750477352 | Susan Lathers | Physician Assistant | 949 Columbia St, Hudson, NY 12534-2624 | 2006-10-04 |
| 1164520391 | Charles Johnson | Family Medicine | 949 Columbia St, Hudson, NY 12534-2624 | 2006-09-20 |
| 1144260233 | Jeanne Pierce | Physician Assistant | 949 Columbia St, Hudson, NY 12534-2624 | 2006-06-07 |
| 1093771677 | Prime Columbia Greene Medical Associates, PC | Physical Medicine & Rehabilitation | 949 Columbia St, Hudson, NY 12534-2624 | 2006-04-24 |
| 1962404616 | Tamton Mustapha | Internal Medicine | 949 Columbia St, Hudson, NY 12534-2624 | 2005-08-12 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497001358 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave Ste 190, Hudson, NY 12534 | 2012-07-30 |
| 1194386680 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Hudson, NY 12534-2907 | 2019-06-25 |
| 1770095796 | Midwest Integrated Medical Center LLC | Clinic/Center | 2920 Enloe St Ste 105, Hudson, WI 54016-8191 | 2017-10-31 |
| 1003363466 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Hudson, NY 12534-2907 | 2016-09-02 |
| 1427420181 | Group Health Plan Inc | Clinic/Center | 411 Stageline Rd, #200, Hudson, WI 54016 | 2015-10-21 |
| 1851775894 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Suite 240, Hudson, NY 12534-2907 | 2015-07-18 |
| 1750790648 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Suite 240, Hudson, NY 12534-2907 | 2014-08-05 |
| 1568874287 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Suite 110, Hudson, NY 12534-2907 | 2014-05-29 |
| 1629497250 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Suite L30, Hudson, NY 12534-2907 | 2014-04-10 |
| 1417371519 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Suite 290, Hudson, NY 12534-2907 | 2014-02-10 |
| Find all providers in HUDSON | ||||
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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.