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HUDSON HEADWATERS HEALTH NETWORK
NPI 1386657534
Clinic/Center - Primary Care in Queensbury, NY

Active since August 15, 2006
28 S WESTERN AVE, QUEENSBURY, NY 12804(518) 798-6400(518) 798-4105 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2020, Aug 12, 2019, May 23, 2019 and 1 more (4 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 1386657534) is a healthcare organization registered as a primary care in Queensbury, New York and active in the NPI registry since August 2006. The organization lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1386657534
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHUDSON HEADWATERS HEALTH NETWORK
Location Address28 S WESTERN AVEQueensbury, NY 12804-3323
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Phone(518) 798-6400
Fax(518) 798-4105
Organization SubpartYes
Authorized OfficialLaura PascoExecutive Vp, Cfo · (518) 761-0300
Enumeration DateAugust 15, 2006
Last NPPES UpdateFebruary 23, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2024
✔ NPI 1386657534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
28 S WESTERN AVE, Queensbury, NY 12804
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Other Identifiers 1

Medicaid03289663NY

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 8

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

GLENS FALLS OBSTETRICS & GYNECOLOGY PC
Obstetrics & Gynecology
28 S WESTERN AVE
QUEENSBURY, NY 12804
Warren County (518) 798-6165
JESSICA MARIE HASSAN MD
Pediatrics
28 S WESTERN AVE
QUEENSBURY, NY 12804
Warren County (518) 798-6400
JOEL L SOLOMON MD
Pediatrics
28 S WESTERN AVE
QUEENSBURY, NY 12804
Warren County (518) 798-6400
JAMES E OMOHUNDRO MD
Pediatrics
28 S WESTERN AVE
QUEENSBURY, NY 12804
Warren County (518) 798-6400
CATHERINE A DELSIGNORE MD
Pediatrics
28 S WESTERN AVE
QUEENSBURY, NY 12804
Warren County (518) 798-6400
KRYSTA L BROWN-KLOCHANEY PNP
Nurse Practitioner (Pediatrics)
28 S WESTERN AVE
QUEENSBURY, NY 12804
Warren County (518) 798-6400
IRENE R FLATAU MD
Pediatrics
28 S WESTERN AVE
QUEENSBURY, NY 12804
Warren County (518) 798-6400
ELIAS A SOCOLOF MD
Pediatrics
28 S WESTERN AVE
QUEENSBURY, NY 12804
Warren County (518) 798-6400

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 1386657534. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Hudson Headwaters Health Network located?

Hudson Headwaters Health Network is located at 28 S Western Ave, Queensbury, NY 12804. The listed phone number is (518) 798-6400.

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 with the weekly NPPES data releases published by CMS.