HUDSON HEADWATERS HEALTH NETWORK
NPI 1245285170
Clinic/Center - Primary Care in Champlain, NY

Active since May 22, 2006
828 STATE ROUTE 11, CHAMPLAIN, NY 12919(518) 298-2691(518) 298-8241 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, Aug 31, 2017, Aug 11, 2017 and 4 more (7 updates tracked since 2017).

About Hudson Headwaters Health Network NPPES

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

HUDSON HEADWATERS HEALTH NETWORK (NPI 1245285170) is a healthcare organization registered as a primary care in Champlain, New York and active in the NPI registry since May 2006. The organization lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245285170
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHUDSON HEADWATERS HEALTH NETWORK
Location Address828 STATE ROUTE 11Champlain, NY 12919-4966
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Fax(518) 298-8241
Organization SubpartYes
Authorized OfficialLaura PascoExecutive Vp, Cfo · (518) 761-0300
Enumeration DateMay 22, 2006
Last NPPES UpdateFebruary 23, 20247 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2024
NPI 1245285170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
828 STATE ROUTE 11, Champlain, NY 12919

Other Identifiers 1

Medicaid02384669NY

Other Providers at the Same Location NPPES 16

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

Family Medicine
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Family Medicine
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Physician Assistant
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Physician Assistant
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Family Medicine
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Social Worker (Clinical)
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Physician Assistant
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Social Worker (Clinical)
828 STATE ROUTE 11
CHAMPLAIN, NY 12919

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 1245285170. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Hudson Headwaters Health Network located?

Hudson Headwaters Health Network is located at 828 State Route 11, Champlain, NY 12919. The listed phone number is (518) 298-2691.

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.