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RRC330094-02 Columbia Memorial Hospital (Active)
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Main Details
Name
Columbia Memorial Hospital
Subdivision Name
Greene Medical Imaging
Type
Rural Referral Center
Rural
Yes
340B ID
RRC330094-02
Medicare Provider Number
330094
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2014
Participating Start Date
1/1/2015
Participating Approval Date
11/12/2014
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Columbia Memorial Hospital
Bryan T. Mahoney, Chief Financial Officer
(518) 697-3230
Primary Contact
Albany Med Health System
Alan W Slowick, System Associate Director of Pharmacy - 340B
(518) 926-2527
Addresses
Street Address
159 Jefferson Heights
Greene Medical Arts
Suite D-106
Catskill, NY 12414
Billing Address
Columbia Memorial Hospital
P.O. Box 2000
Hudson, NY 12534
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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