| Organization Name: | COLUMBIA MEMORIAL HOSPITAL |
| NPI Number: | 1578819322 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VINCENT J DINGMAN (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1301 River St Suite 201 Valatie |
| State: | NY US |
| Postal Code: | 121849694 |
| Phone Number: | 5187582055 |
| Fax Number: | 5187582057 |
| NPI Enumeration Date: | 07/31/2012 |
| NPI Last Update Date: | 07/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 1001000H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |