HUDSON HEADWATERS HEALTH NETWORK - NPI 1013292002 - Clinic/Center in Queensbury, NY

Q: What is Hudson Headwaters Health Network's NPI number?

The NPI number for Hudson Headwaters Health Network is 1013292002. It was assigned to this organization in the NPPES registry on October 21, 2011.

Q: 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.

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About Hudson Headwaters Health Network NPPES

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

HUDSON HEADWATERS HEALTH NETWORK (NPI 1013292002) is a healthcare organization registered as a primary care in Queensbury, New York and active in the NPI registry since October 2011. The organization lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013292002

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameHUDSON HEADWATERS HEALTH NETWORK

Location Address161 CAREY RDQueensbury, NY 12804-7821

Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388

Phone(518) 824-8610

Fax(518) 824-2390

Organization SubpartYes

Authorized OfficialLaura PascoExecutive Vp, Cfo · (518) 761-0300

Enumeration DateOctober 21, 2011

Last NPPES UpdateFebruary 23, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2024

✔ NPI 1013292002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X · License 5660200R (NY)

Also ListedPhysician AssistantTaxonomy 363A00000X

161 CAREY RD, Queensbury, NY 12804

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Other Identifiers 1

Medicaid03470413NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

LYNN M KEIL PA-C

Physician Assistant