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

Active since August 29, 2023CLIA 33D2308078 · Microscopy
25 DEGRANDPRE WAY, PLATTSBURGH, NY 12901(518) 824-2563(833) 448-3030 Get Directions Write a Review

NPPES record last updated: February 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 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 1376328153) is a healthcare organization registered as a primary care in Plattsburgh, New York and active in the NPI registry since August 2023. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376328153
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHUDSON HEADWATERS HEALTH NETWORK
Location Address25 DEGRANDPRE WAYPlattsburgh, NY 12901-6449
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Phone(518) 824-2563
Fax(833) 448-3030
Organization SubpartYes
Authorized OfficialLaura PascoExecutive Vp, Cfo · (518) 761-0300
Enumeration DateAugust 29, 2023
Last NPPES UpdateFebruary 24, 2024
NPPES CertifiedFebruary 24, 2024
✔ NPI 1376328153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
25 DEGRANDPRE WAY, Plattsburgh, NY 12901
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2308078

Plattsburgh Pediatric And Adolescent Health · Plattsburgh, NY
Active · expires Mar 26, 2027
CLIA Number33D2308078
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 22, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Christina A. Gallus
Laboratory Phone(518) 824-2563
Laboratory LocationPlattsburgh Pediatric And Adolescent Health25 Degrandpre Way, Plattsburgh, NY 12901
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 12

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

MRS. MARY ANNE CARTER C.N.P.
Nurse Practitioner (Obstetrics & Gynecology)
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Clinton County (518) 563-3260
SUSAN KIER-MERRIHEW NP
Nurse Practitioner
25 DEGRANDPRE WAY, ASSOCIATES IN OBGYN, PC
PLATTSBURGH, NY 12901
Clinton County (518) 563-3260
MS. BRIDGET MARY SARAZEN CNM, WHNP
Nurse Practitioner (Women's Health)
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Clinton County (518) 563-3263
MOLLY E. MENTZER DO
Obstetrics & Gynecology
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Clinton County (518) 563-3260
ASSOCIATES IN OBSTETRICS & GYNECOLOGY, P.C.
Obstetrics & Gynecology
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Clinton County (518) 563-3260
CHRISTINA A GALLUS MD
Pediatrics
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Clinton County (518) 824-2563
LAURIE O'CONNELL EAMER FNP
Nurse Practitioner (Family)
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Clinton County (518) 824-2563
SARAH HEPWORTH MD
Pediatrics
25 DEGRANDPRE WAY
PLATTSBURGH, NY 12901
Clinton County (518) 824-2563

Frequently Asked Questions

What is HUDSON HEADWATERS HEALTH NETWORK's NPI number?

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

Where is the provider located?

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

What is the provider's specialty?

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