HUDSON HEADWATERS HEALTH NETWORK
NPI 1154589083
Clinic/Center - Federally Qualified Health Center (FQHC) in Glens Falls, NY

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

The NPI number for Hudson Headwaters Health Network is 1154589083. It was assigned to this organization in the NPPES registry on May 28, 2008.

Q: What is Hudson Headwaters Health Network's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since May 28, 2008CLIA 33D2192456 · Microscopy

90 SOUTH ST, GLENS FALLS, NY 12801(518) 792-7841(518) 932-0289 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2020, Dec 19, 2018, Nov 16, 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 1154589083) is a healthcare organization registered as a federally qualified health center (fqhc) in Glens Falls, New York and active in the NPI registry since May 2008. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1154589083

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameHUDSON HEADWATERS HEALTH NETWORK

Location Address90 SOUTH STGlens Falls, NY 12801-4328

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

Phone(518) 792-7841

Fax(518) 932-0289

Organization SubpartYes

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

Enumeration DateMay 28, 2008

Last NPPES UpdateFebruary 23, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2024

✔ NPI 1154589083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

90 SOUTH ST, Glens Falls, NY 12801

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Other Identifiers 1

Medicaid03013009NY

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

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 for Provider-Performed Microscopy Procedures (PPMP) 33D2192456

Hudson Headwaters Women's Health · Glens Falls, NY

Active · expires Mar 26, 2027

CLIA Number33D2192456

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 10, 2020

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. William M. Borgos

Laboratory Phone(518) 792-7841

Laboratory LocationHudson Headwaters Women's Health90 South St, Glens Falls, NY 12801

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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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.

KATHI J MILLER CNM

Advanced Practice Midwife