1. Home
  2. Directory
  3. New York
  4. Malone
  5. Clinic Center
  6. NPI Profile

HUDSON HEADWATERS HEALTH NETWORK
NPI 1003691064
Clinic/Center - Primary Care in Malone, NY

Active since August 29, 2023
24 4TH ST, MALONE, NY 12953(518) 824-2562(833) 941-5091 Get Directions Write a Review

NPPES record last updated: March 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2026, Aug 29, 2023 (2 updates tracked since 2023).

About Hudson Headwaters Health Network NPPES

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

HUDSON HEADWATERS HEALTH NETWORK (NPI 1003691064) is a healthcare organization registered as a primary care in Malone, New York and active in the NPI registry since August 2023. The organization lists Laura Pasco, Executive Vp, Finance & Cfo, as its authorized official.

NPPES Registry Identity

NPI1003691064
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHUDSON HEADWATERS HEALTH NETWORK
Location Address24 4TH STMalone, NY 12953-1350
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Phone(518) 824-2562
Fax(833) 941-5091
Organization SubpartYes
Authorized OfficialLaura PascoExecutive Vp, Finance & Cfo · (518) 761-0300
Enumeration DateAugust 29, 2023
Last NPPES UpdateMarch 7, 20262 updates tracked since enumeration
NPPES CertifiedMarch 7, 2026
✔ NPI 1003691064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
24 4TH ST, Malone, NY 12953
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY MARIE ROTONDE PA-C
Physician Assistant
24 4TH ST
MALONE, NY 12953
Franklin County (518) 824-2562
NORTH COUNTRY HEALTH CARE, MEDICAL PLLC
Family Medicine
24 4TH ST
MALONE, NY 12953
Franklin County (518) 481-6044
VLADIMIR MEDVED
Pain Medicine (Pain Medicine)
24 4TH ST
MALONE, NY 12953
Franklin County (518) 481-6044
MARINA MEDVED
Family Medicine
24 4TH ST, NORTH COUNTRY HEALTHCARE
MALONE, NY 12953
Franklin County (518) 481-6044
NADAV SHARON M.D.
Surgery
24 4TH ST
MALONE, NY 12953
Franklin County (518) 481-2842

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 Hudson Headwaters Health Network's NPI number?

The NPI number for Hudson Headwaters Health Network is 1003691064. It was assigned to this organization in the NPPES registry on August 29, 2023.

Where is Hudson Headwaters Health Network located?

Hudson Headwaters Health Network is located at 24 4th St, Malone, NY 12953. The listed phone number is (518) 824-2562.

What is Hudson Headwaters Health Network's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Hudson Headwaters Health Network was last updated on March 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.