Tannersville Family Care

LBN: Columbia Memorial Regional Medical Pllc
Tannersville Family Care is an health care organization with primary practice located at 6171 Route 23A , Tannersville NY 12485. 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 Regional Medical Pllc can be contacted via phone (518) 589-6843, or through Mahoney, Bryan T. via phone (518) 828-8090.

Contact Information

Primary practice address
6171 Route 23A Tannersville NY 12485
Phone: (518) 589-6843
Fax: (518) 589-6844
Website:
Map and Directions
Authorized official contact:
Name: Mahoney, Bryan T.
Phone: (518) 828-8090

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1679166284
LBN Legal business name Columbia Memorial Regional Medical Pllc
DBA Doing business as Tannersville Family Care
Authorized official Mahoney, Bryan T.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2021
Last updated Jul 21st, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679166284 NPPES
New York MEDICAID 03227290

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