CMH-LAFAYETTE FAMILY CARE
NPI 1417540824
Clinic/Center - Multi-Specialty in Coxsackie, NY
About Cmh-lafayette Family Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CMH-LAFAYETTE FAMILY CARE (NPI 1417540824) is a healthcare organization registered as a multi-specialty in Coxsackie, New York and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Bryan T. Mahoney, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D1105866
Cmh - Lafayette Family Care · Coxsackie, NYOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Columbia Memorial Regional Medical PLLC's NPI number?
The NPI number for Columbia Memorial Regional Medical PLLC is 1417540824. It was assigned to this organization in the NPPES registry on February 17, 2021. The provider is also known as Cmh-Lafayette Family Care.
Where is Columbia Memorial Regional Medical PLLC located?
Columbia Memorial Regional Medical PLLC is located at 24 Lafayette Ave, Coxsackie, NY 12051. The listed phone number is (518) 731-7770.
What is Columbia Memorial Regional Medical PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Columbia Memorial Regional Medical PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1105866) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Columbia Memorial Regional Medical PLLC was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cmh-Lafayette Family Care · NPI 1417540824
Multi-Specialty organization in Coxsackie, New York. Organization record, active in the CMS NPPES registry since February 17, 2021.
## Identity
- **NPI:** 1417540824 (Entity type: Organization)
- **Enumerated:** February 17, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Columbia Memorial Regional Medical Pllc
- **Organization subpart:** No
- **Authorized official:** Bryan Mahoney, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 24 LAFAYETTE AVE, Coxsackie, NY 12051-1305
- **Phone:** (518) 731-7770
## Record status
- **NPPES last updated:** July 21, 2021
- **Other identifiers:** Medicaid 03227290 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417540824) · Data from the CMS NPPES public registry.