HUDSON HEADWATERS HEALTH NETWORK
NPI 1124320247
Clinic/Center - Primary Care in Fort Edward, NY

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

The NPI number for Hudson Headwaters Health Network is 1124320247. It was assigned to this organization in the NPPES registry on November 22, 2010.

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.

Active since November 22, 2010

48 EAST ST, FORT EDWARD, NY 12828(518) 824-8630(518) 824-2302 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2020, Nov 16, 2016, Sep 2, 2016 (3 updates tracked since 2016).

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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 1124320247) is a healthcare organization registered as a primary care in Fort Edward, New York and active in the NPI registry since November 2010. The organization lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124320247

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameHUDSON HEADWATERS HEALTH NETWORK

Location Address48 EAST STFort Edward, NY 12828-1811

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

Phone(518) 824-8630

Fax(518) 824-2302

Organization SubpartYes

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

Enumeration DateNovember 22, 2010

Last NPPES UpdateFebruary 23, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2024

✔ NPI 1124320247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X

48 EAST ST, Fort Edward, NY 12828

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Other Identifiers 1

Medicaid03298482NY

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 13

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

RITA LYNN ALL FNP

Nurse Practitioner (Family)