Medication Assisted Treatment Services

LBN: Columbia Memorial Hospital
Medication Assisted Treatment Services is an health care organization with primary practice located at 71 Prospect Ave Suite 240, Hudson NY 12534-2907. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Columbia Memorial Hospital can be contacted via phone (518) 828-7601, or through Ellsworth, Shannon via phone (518) 828-8067.

Contact Information

Primary practice address
71 Prospect Ave Suite 240 Hudson NY 12534-2907
Phone: (518) 828-7601
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellsworth, Shannon
Phone: (518) 828-8067

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 1001000H New York

Profile Details

NPI number 1851775894
LBN Legal business name Columbia Memorial Hospital
DBA Doing business as Medication Assisted Treatment Services
Authorized official Ellsworth, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2015
Last updated Apr 9th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851775894 NPPES
New York MEDICAID 03227290

Popular Providers