HUDSON HEADWATERS HEALTH NETWORK - NPI 1356355952 - Clinic/Center in Gansevoort, NY

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

The NPI number for Hudson Headwaters Health Network is 1356355952. It was assigned to this organization in the NPPES registry on July 28, 2006.

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.

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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 1356355952) is a healthcare organization registered as a primary care in Gansevoort, 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

NPI1356355952

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameHUDSON HEADWATERS HEALTH NETWORK

Location Address1299 ROUTE 9Gansevoort, NY 12831-1560

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

Phone(518) 761-6961

Fax(518) 761-1006

Organization SubpartYes

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

Enumeration DateJuly 28, 2006

Last NPPES UpdateFebruary 23, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2024

✔ NPI 1356355952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPodiatristTaxonomy 213E00000X

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

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

1299 ROUTE 9, Gansevoort, NY 12831

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Other Identifiers 1

Medicaid03289470NY

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 16

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

ERIN M MORINE DO

Emergency Medicine (Sports Medicine)