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HUDSON HEADWATERS HEALTH NETWORK
NPI 1295758423
Clinic/Center - Primary Care in Bolton Landing, NY

Active since July 26, 2006
11 CROSS ST, BOLTON LANDING, NY 12814(518) 644-9471(518) 644-2915 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

About Hudson Headwaters Health Network NPPES

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

HUDSON HEADWATERS HEALTH NETWORK (NPI 1295758423) is a healthcare organization registered as a primary care in Bolton Landing, New York and active in the NPI registry since July 2006. The organization lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295758423
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHUDSON HEADWATERS HEALTH NETWORK
Location Address11 CROSS STBolton Landing, NY 12814-0539
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Phone(518) 644-9471
Fax(518) 644-2915
Organization SubpartYes
Authorized OfficialLaura PascoExecutive Vp, Cfo · (518) 761-0300
Enumeration DateJuly 26, 2006
Last NPPES UpdateFebruary 23, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2024
✔ NPI 1295758423 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 ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
11 CROSS ST, Bolton Landing, NY 12814
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Other Identifiers 1

Medicaid03290131NY

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 4

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

BETSY L LOIKA PA-C
Physician Assistant
11 CROSS ST
BOLTON LANDING, NY 12814
Warren County (518) 644-9471
TANYA J FINCH FNP
Nurse Practitioner (Family)
11 CROSS ST
BOLTON LANDING, NY 12814
Warren County (518) 644-9471
BRYAN SMEAD MD
Family Medicine
11 CROSS ST
BOLTON LANDING, NY 12814
Warren County (518) 644-9471
RYAN MICHAEL DONNELLY DO
Family Medicine
11 CROSS ST
BOLTON LANDING, NY 12814
Warren County (518) 644-9471

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 1295758423. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Hudson Headwaters Health Network located?

Hudson Headwaters Health Network is located at 11 Cross St, Bolton Landing, NY 12814. The listed phone number is (518) 644-9471.

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.