COLUMBIA MEMORIAL HOSPITAL NPI 1215265517

NPI Information

NPI: 1215265517
Provider Name: COLUMBIA MEMORIAL HOSPITAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
71 PROSPECT AVENUE
DENTAL PROGRAM
HUDSON, NY
ZIP 12534
Phone: (518) 669-7892
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COLUMBIA MEMORIAL HOSPITAL is a dental clinic center in Hudson, NY. COLUMBIA MEMORIAL HOSPITAL NPI is 1215265517. The provider is registered as an organization entity type.

The provider's business location address is:

71 PROSPECT AVENUE
DENTAL PROGRAM
HUDSON, NY
ZIP 12534
Phone: (518) 669-7892
Fax: (518) 669-7893

The provider's authorized official is Vicent J Dingman .
The authorized official title is Chief Financial Officer and has the following contact phone number (518) 828-8249.

The enumeration date for this NPI number is 11/24/2009 and was last updated on 11/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	1001000H	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00335915	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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