HUDSON HEADWATERS HEALTH NETWORK
NPI 1376328153
Clinic/Center - Primary Care in Plattsburgh, NY

NPI Status: Active since August 29, 2023

Contact Information

25 DEGRANDPRE WAY
PLATTSBURGH, NY
ZIP 12901
Phone: (518) 824-2563
Fax: (833) 448-3030

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 33D2308078
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 03-26-2027

About HUDSON HEADWATERS HEALTH NETWORK

This page provides the complete NPI Profile along with additional information for Hudson Headwaters Health Network, a primary care provider established in Plattsburgh, New York operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1376328153 assigned on August 2023. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Hudson Headwaters Health Network operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Laura Pasco (Executive Vp, Cfo)

NPI
1376328153
Provider Name
HUDSON HEADWATERS HEALTH NETWORK
Entity Type
Organization
Location Address
25 DEGRANDPRE WAY PLATTSBURGH, NY 12901
Location Phone
(518) 824-2563
Location Fax
(833) 448-3030
Mailing Address
9 CAREY RD QUEENSBURY, NY 12804
Mailing Phone
(518) 761-0300
Mailing Fax
(833) 448-3030
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-29-2023
Last Update Date
02-24-2024
Code Navigator

A primary care provider (PCP) like Hudson Headwaters Health Network sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
2261QF0400XAmbulatory Health Care Facilities

Clinic/Center
Federally Qualified Health Center (FQHC)

 
3363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
4363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 
5363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAURA PASCO

Authorized Official Title
EXECUTIVE VP, CFO
Authorized Official Phone
(518) 761-0300

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2308078
Facility Type
Federally Qualified Health Center
Certificate Effective Date
July 22, 2024
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. CHRISTINA A. GALLUS
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Hudson Headwaters Health Network in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376328153, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 3 → 6 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 6 + 2 + 1 + 6 + 1 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1376328153.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Nurse Practitioner (Obstetrics & Gynecology)
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Nurse Practitioner
25 DEGRANDPRE WAY, ASSOCIATES IN OBGYN, PC
PLATTSBURGH, NY 12901
Nurse Practitioner (Women's Health)
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Obstetrics & Gynecology
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Obstetrics & Gynecology
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Pediatrics
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Nurse Practitioner (Family)
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Pediatrics
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Nurse Practitioner (Family)
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Nurse Practitioner (Pediatrics)
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Pediatrics
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Obstetrics & Gynecology
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376328153, enumerated as an "organization" on August 29, 2023.

The provider is located at 25 DEGRANDPRE WAY PLATTSBURGH, NY 12901 and the phone number is (518) 824-2563.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.