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HUDSON HEADWATERS HEALTH NETWORK
NPI 1174146898
Clinic/Center - Primary Care in Tupper Lake, NY

Active since May 28, 2020
7 STETSON RD, TUPPER LAKE, NY 12986(518) 359-7222(518) 359-7664 Get Directions Write a Review

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

About Hudson Headwaters Health Network NPPES

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

HUDSON HEADWATERS HEALTH NETWORK (NPI 1174146898) is a healthcare organization registered as a primary care in Tupper Lake, New York and active in the NPI registry since May 2020. The organization lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174146898
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHUDSON HEADWATERS HEALTH NETWORK
Location Address7 STETSON RDTupper Lake, NY 12986-2014
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Phone(518) 359-7222
Fax(518) 359-7664
Organization SubpartYes
Authorized OfficialLaura PascoExecutive Vp, Cfo · (518) 761-0300
Enumeration DateMay 28, 2020
Last NPPES UpdateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
✔ NPI 1174146898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
7 STETSON RD, Tupper Lake, NY 12986
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Other Identifiers 1

Medicaid06301826NY

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 5

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

DR. DARCI BEIRAS M.D.
Pediatrics
7 STETSON RD, TUPPER LAKE HEALTH CENTER
TUPPER LAKE, NY 12986
Franklin County (518) 359-7000
LISA M O' CONNOR PA-C
Physician Assistant
7 STETSON RD
TUPPER LAKE, NY 12986
Franklin County (518) 359-7000
MS. JACQUELINE CORINNE SNYDER PA-C
Physician Assistant
7 STETSON RD
TUPPER LAKE, NY 12986
Franklin County (518) 359-7000
DONA KILGORE DONA KILGORE, RPA-C
Physician Assistant
7 STETSON RD
TUPPER LAKE, NY 12986
Franklin County (518) 354-7000
HALEY MAE DEL DUCA FNP-C
Nurse Practitioner (Family)
7 STETSON RD
TUPPER LAKE, NY 12986
Franklin County (518) 359-7000

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 1174146898. It was assigned to this organization in the NPPES registry on May 28, 2020.

Where is Hudson Headwaters Health Network located?

Hudson Headwaters Health Network is located at 7 Stetson Rd, Tupper Lake, NY 12986. The listed phone number is (518) 359-7222.

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 February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.