340B Drug Pricing Program Database


RRC330094-46 Columbia Memorial Hospital (Terminated) - information as of 5/13/2025 1:46:21 AM

Main Details
Columbia Memorial Hospital
Columbia Memorial Breast and Vein Care
Rural Referral Center
Yes
RRC330094-46
330094


Additional Details
Terminated
7/15/2016
10/1/2016
8/15/2016
9/5/2019

10/1/2020
Site closure

Contacts

Columbia Memorial Hospital
Bryan T. Mahoney, Chief Financial Officer
(518) 697-3230

Columbia Memorial Hospital
Kelly Barrett, Manager of Financial Planning
(518) 828-8121

Addresses

71 Prospect Ave
Medical Office Building
Suite 240
Hudson, NY 12534

Columbia Memorial Hospital
P.O. Box 2000
Hudson, NY 12534


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
RRC330094-01ChildRRCColumbia Memorial HospitalValatie Medical Imaging1301 River StValatieNYActive
RRC330094-02ChildRRCColumbia Memorial HospitalGreene Medical Imaging159 Jefferson HeightsCatskillNYActive
RRC330094-03ChildRRCColumbia Memorial HospitalWomen's Health Center - Catskill159 Jefferson HeightsCatskillNYActive
RRC330094-04ChildRRCColumbia Memorial HospitalWomen's Health Center - Hudson67 Prospect AveHudsonNYActive
RRC330094-05ChildRRCColumbia Memorial HospitalWindham Medical Care345 State Route 296HensonvilleNYActive
RRC330094-06ChildRRCColumbia Memorial HospitalValatie Family Care Center2827 Rt. 9ValatieNYActive
RRC330094-07ChildRRCColumbia Memorial HospitalTwin County Sleep Lab - Ghent2 Sherman Potts Drive, Rt. 66GhentNYTerminated
RRC330094-08ChildRRCColumbia Memorial HospitalTwin County Nephrology - Catskill159 Jefferson HeightsCatskillNYActive
RRC330094-09ChildRRCCOLUMBIA MEMORIAL HOSPITALTwin County Nephrology - Hudson71 Prospect AveHudsonNYTerminated
RRC330094-10ChildRRCColumbia Memorial HospitalTwin County Cardiology - Catskill159 Jefferson HeightsCatskillNYActive
RRC330094-11ChildRRCColumbia Memorial HospitalTwin County Cardiology - Hudson67 Prospect AveHudsonNYActive
RRC330094-12ChildRRCColumbia Memorial HospitalNeurosurgery and Spine71 Prospect AveHudsonNYTerminated
RRC330094-13ChildRRCColumbia Memorial HospitalValatie Rapid Care2827 Rt. 9ValatieNYActive
RRC330094-14ChildRRCColumbia Memorial HospitalPrime Medical159 Jefferson HeightsCatskillNYActive
RRC330094-15ChildRRCColumbia Memorial HospitalMountain View Medical Practice159 Jefferson HeightsCatskillNYTerminated
RRC330094-16ChildRRCColumbia Memorial HospitalKinderhook Medical Care2827 Rt. 9ValatieNYActive
RRC330094-17ChildRRCColumbia Memorial HospitalJefferson Heights Family Care Center159 Jefferson HeightsCatskillNYActive
RRC330094-18ChildRRCColumbia Memorial HospitalHudson Medical Care67 Prospect AveHudsonNYActive
RRC330094-19ChildRRCCOLUMBIA MEMORIAL HOSPITALGhent Family Care60 Garage Place RoadGhentNYTerminated
RRC330094-20ChildRRCColumbia Memorial HospitalCoxsackie Medical Care9 Law StreetWest CoxsackieNYTerminated
RRC330094-21ChildRRCColumbia Memorial HospitalColumbia Urology67 Prospect AveHudsonNYActive
RRC330094-22ChildRRCColumbia Memorial HospitalColumbia Memorial Surgical Associates67 Prospect AveHudsonNYActive
RRC330094-23ChildRRCColumbia Memorial HospitalColumbia Memorial Rheumatology23 Fish and Game RoadHudsonNYActive
RRC330094-24ChildRRCColumbia Memorial HospitalColumbia Memorial Pulmonology67 Prospect AveHudsonNYActive
RRC330094-25ChildRRCColumbia Memorial HospitalColumbia Memorial Pediatrics - Hudson813 Warren StreetHudsonNYActive
RRC330094-26ChildRRCColumbia Memorial HospitalColumbia Memorial Pain Management67 Prospect AveHudsonNYActive
RRC330094-27ChildRRCColumbia Memorial HospitalColumbia Memorial Gastroenterology67 Prospect AveHudsonNYActive
RRC330094-28ChildRRCCOLUMBIA MEMORIAL HOSPITALColumbia Memorial Family Care - Catskill159 Jefferson HeightsCatskillNYTerminated
RRC330094-29ChildRRCCOLUMBIA MEMORIAL HOSPITALColumbia Memorial Family Care - Valatie1301 River StreetValatieNYTerminated
RRC330094-30ChildRRCColumbia Memorial HospitalColumbia Memorial Family Care - Hudson67 Prospect AveHudsonNYActive
RRC330094-31ChildRRCColumbia Memorial HospitalColumbia Memorial Endocrinology23 Fish & Game RdHudsonNYTerminated
RRC330094-32ChildRRCColumbia Memorial HospitalColumbia Memorial Cardiology1301 River StreetValatieNYActive
RRC330094-33ChildRRCColumbia Memorial HospitalColumbia Memorial Bone & Joint Center - Catskill159 Jefferson HeightsCatskillNYActive
RRC330094-34ChildRRCColumbia Memorial HospitalColumbia Memorial Bone & Joint Center - Hudson23 Fish and Game RoadHudsonNYActive
RRC330094-35ChildRRCCOLUMBIA MEMORIAL HOSPITALGreene Medical Arts / Columbia Dermatology - Catskill159 Jefferson HeightsCatskillNYTerminated
RRC330094-36ChildRRCCOLUMBIA MEMORIAL HOSPITALValatie Campus / Columbia Dermatology2827 Rt. 9ValatieNYTerminated
RRC330094-37ChildRRCColumbia Memorial HospitalChatham-Ghent Family Care Center31 Dardess DriveChathamNYActive
RRC330094-38ChildRRCColumbia Memorial HospitalCallan Family Care Center283 Mountain View RoadCopakeNYActive
RRC330094-39ChildRRCColumbia Memorial HospitalCairo Family Care Center4383 Rt. 23CairoNYActive
RRC330094-40ChildRRCColumbia Memorial HospitalBroadway Family Care Center17 Glen Pond DriveRed HookNYActive
RRC330094-41ChildRRCColumbia Memorial HospitalColumbia Memorial Hospital Rehabilitation Services - Occupational Therapy23 Fish and Game RoadHudsonNYActive
RRC330094-42ChildRRCColumbia Memorial HospitalColumbia Memorial Hospital Rehabilitation Services - Physical Therapy23 Fish and Game RoadHudsonNYActive
RRC330094-43ChildRRCColumbia Memorial HospitalColumbia Memorial Physical Therapy - Greene159 Jefferson HeightsCatskillNYActive
RRC330094-44ChildRRCColumbia Memorial HospitalColumbia Memorial Psychiatric and Psychotherapy Center - Catskill159 Jefferson HeightsCatskillNYActive
RRC330094-45ChildRRCColumbia Memorial HospitalMedication Assisted Treatment Services71 Prospect AveHudsonNYTerminated
RRC330094-46ChildRRCColumbia Memorial HospitalColumbia Memorial Breast and Vein Care71 Prospect AveHudsonNYTerminated
RRC330094-47ChildRRCColumbia Memorial HospitalColumbia Memorial Pediatrics - Catskill159 Jefferson HeightsCatskillNYActive
RRC330094-48ChildRRCColumbia Memorial HospitalPrime Medical - Hudson71 Prospect AveHudsonNYTerminated
RRC330094-49ChildRRCColumbia Memorial HospitalColumbia Memorial Psychiatric and Psychotherapy Center - Hudson71 Prospect AveHudsonNYActive
RRC330094-50ChildRRCColumbia Memorial HospitalCopake Rapid Care283 Mountain View RoadCopakeNYActive
RRC330094-51ChildRRCColumbia Memorial HospitalWomen's Specialty Services67 Prospect AveHudsonNYActive
RRC330094-52ChildRRCColumbia Memorial HospitalMountain View Medical Practice - Family Care159 Jefferson HeightsCatskillNYActive
RRC330094-53ChildRRCColumbia Memorial HospitalValatie Pediatrics - Pediatrics2827 Rt. 9ValatieNYActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate To Be TerminatedTerminated10/1/2020 12:01 AM
DatesLast Date That 340B Drugs PurchasedUpdateRecertification 3/15/2019 12:00:00 AM9/8/2020 3:55 PM
DetailsStateUpdateRecertificationActiveTo Be Terminated9/8/2020 3:55 PM
TerminationsTermination DateUpdateRecertification 10/1/2020 12:00:00 AM9/8/2020 3:55 PM
TerminationsTermination Effective DateUpdateRecertification 3/20/2019 12:00:00 AM9/8/2020 3:55 PM
TerminationsTermination ReasonUpdateRecertification Site closure9/8/2020 3:55 PM
ContactsPrimary ContactUpdateProfile Change RequestBarrett, Kelly Financial Analyst Columbia Memorial Hospital 5188288121Barrett, Kelly Manager of Financial Planning Columbia Memorial Hospital 51882881219/1/2020 3:47 PM
DetailsLast Recertification DateUpdateRecertification8/17/2018 1:10:16 AM9/5/2019 3:24:23 PM9/5/2019 3:24 PM
DetailsLast Recertification DateUpdateRecertification11/29/2017 10:17:03 PM8/17/2018 1:10:16 AM8/17/2018 1:10 AM
AddressesBilling AddressInsertRecertification Columbia Memorial Hospital P.O. Box 2000 Hudson, NY 1253411/29/2017 10:17 PM
AddressesMain AddressUpdateRecertification 67 Prospect Ave Suite 240 Hudson, NY 12534 71 Prospect Ave Medical Office Building Suite 240 Hudson, NY 1253411/29/2017 10:17 PM
DetailsLast Recertification DateUpdateRecertification 11/29/2017 10:17:03 PM11/29/2017 10:17 PM
DetailsEntity SubnameUpdateRecertificationCMH Breast & Vein HudsonColumbia Memorial Breast and Vein Care11/29/2017 10:17 PM
DetailsEntity NameUpdateRecertificationCOLUMBIA MEMORIAL HOSPITALColumbia Memorial Hospital11/29/2017 10:07 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestMahoney, Bryan T. Chief Financial Officer Columbia Memorial Hospital 5188287601-8249Mahoney, Bryan T. Chief Financial Officer Columbia Memorial Hospital 518697323011/17/2017 11:27 AM
ContactsSigned ByUpdateProfile Change RequestMahoney, Bryan T. Chief Financial Officer Columbia Memorial Hospital 5188287601-8249Mahoney, Bryan T. Chief Financial Officer Columbia Memorial Hospital 518697323011/17/2017 11:27 AM
ContactsAuthorizing OfficialUpdate Mahoney, Bryan T. Chief Financial Officer 5188287601-8249Mahoney, Bryan T. Chief Financial Officer Columbia Memorial Hospital 5188287601-82499/19/2017 1:58 PM
ContactsSigned ByUpdate Mahoney, Bryan T. Chief Financial Officer 5188287601-8249Mahoney, Bryan T. Chief Financial Officer Columbia Memorial Hospital 5188287601-82499/19/2017 1:58 PM
ContactsPrimary ContactUpdate Barrett, Kelly Financial Analyst 5188288121Barrett, Kelly Financial Analyst Columbia Memorial Hospital 51882881219/19/2017 11:32 AM
ContactsPrimary ContactInsert  Barrett, Kelly Financial Analyst 51882881218/11/2017 11:41 AM
ContactsAuthorizing OfficialInsert  Mahoney, Bryan T. Chief Financial Officer 5188287601-82498/11/2017 11:41 AM
ContactsSigned ByInsert  Mahoney, Bryan T. Chief Financial Officer 5188287601-82498/11/2017 11:41 AM
AddressesMain AddressInsert   67 Prospect Ave Suite 240 Hudson, NY 125348/23/2016 10:37 AM
DatesParticipating Approval DateUpdate  8/15/2016 12:00:00 AM8/15/2016 5:36 PM
DetailsStateUpdate PendingActive8/15/2016 5:36 PM
DatesStart DateUpdate  10/1/2016 12:00:00 AM8/15/2016 5:36 PM
Details340B IDUpdate OUTPATIENT_ONLINE_REG_71940RRC330094-467/20/2016 9:11 AM
Details340B IDUpdate  OUTPATIENT_ONLINE_REG_719407/15/2016 12:53 PM
DetailsLast Recertification DateInsert   7/15/2016 12:53 PM
DetailsGrant NumberInsert   7/15/2016 12:53 PM
Details340B IDInsert   7/15/2016 12:53 PM
DetailsIs Authorizing Official EHB DataInsert   7/15/2016 12:53 PM
DatesLast Date That 340B Drugs PurchasedInsert   7/15/2016 12:53 PM
DetailsMedicare Provider NumberInsert  3300947/15/2016 12:53 PM
DetailsEntity NameInsert  COLUMBIA MEMORIAL HOSPITAL7/15/2016 12:53 PM
DetailsProgram CodeInsert  RRC7/15/2016 12:53 PM
DetailsEntity SubnameInsert  CMH Breast & Vein Hudson7/15/2016 12:53 PM
DatesParticipating Approval DateInsert   7/15/2016 12:53 PM
DetailsStateInsert  Pending7/15/2016 12:53 PM
DatesRegistration DateInsert  7/15/2016 12:00:00 AM7/15/2016 12:53 PM
DatesSigned By DateInsert  7/15/2016 12:00:00 AM7/15/2016 12:53 PM
DatesStart DateInsert   7/15/2016 12:53 PM
TerminationsTermination CommentsInsert   7/15/2016 12:53 PM
TerminationsTermination DateInsert   7/15/2016 12:53 PM
TerminationsTermination Effective DateInsert   7/15/2016 12:53 PM
TerminationsTermination ReasonInsert   7/15/2016 12:53 PM