HUDSON HEADWATERS HEALTH NETWORK
NPI 1164998423
Clinic/Center - Primary Care in Plattsburgh, NY

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

The NPI number for Hudson Headwaters Health Network is 1164998423. It was assigned to this organization in the NPPES registry on October 15, 2018.

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 October 15, 2018

87 PLAZA BLVD, PLATTSBURGH, NY 12901(518) 536-7060(518) 536-7075 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 31, 2020, Oct 15, 2018 (2 updates tracked since 2018).

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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 1164998423) is a healthcare organization registered as a primary care in Plattsburgh, New York and active in the NPI registry since October 2018. The organization lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164998423

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameHUDSON HEADWATERS HEALTH NETWORK

Location Address87 PLAZA BLVDPlattsburgh, NY 12901-6438

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

Phone(518) 536-7060

Fax(518) 536-7075

Organization SubpartYes

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

Enumeration DateOctober 15, 2018

Last NPPES UpdateFebruary 23, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2024

✔ NPI 1164998423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedFamily MedicineTaxonomy 207Q00000X

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

87 PLAZA BLVD, Plattsburgh, NY 12901

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Other Identifiers 1

Medicaid05550376NY

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 17

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

ERIC M DECELLE LCSW

Social Worker (Clinical)