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TANNERSVILLE FAMILY CARE
NPI 1679166284
Clinic/Center - Multi-Specialty in Tannersville, NY

Active since February 15, 2021
6171 ROUTE 23A, TANNERSVILLE, NY 12485(518) 589-6843(518) 589-6844 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2021, Feb 16, 2021 (2 updates tracked since 2021).

About Tannersville Family Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNERSVILLE FAMILY CARE (NPI 1679166284) is a healthcare organization registered as a multi-specialty in Tannersville, New York and active in the NPI registry since February 2021. The organization lists Bryan T. Mahoney, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1679166284
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOLUMBIA MEMORIAL REGIONAL MEDICAL PLLC
Location Address6171 ROUTE 23ATannersville, NY 12485
Mailing AddressPo Box 2000Hudson, NY 12534-2000 · (518) 697-3258 · Fax (518) 828-8183
Phone(518) 589-6843
Fax(518) 589-6844
Organization SubpartNo
Authorized OfficialBryan T. MahoneyChief Financial Officer · (518) 828-8090
Enumeration DateFebruary 15, 2021
Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1679166284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
6171 ROUTE 23A, Tannersville, NY 12485
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Other Names 1

Other NameTannersville Family Care

Other Identifiers 1

Medicaid03227290NY

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 1679166284. It was assigned to this organization in the NPPES registry on February 15, 2021. The provider is also known as Tannersville Family Care.

Where is Columbia Memorial Regional Medical PLLC located?

Columbia Memorial Regional Medical PLLC is located at 6171 Route 23A, Tannersville, NY 12485. The listed phone number is (518) 589-6843.

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.

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.