HUDSON HEADWATERS HEALTH NETWORK
NPI 1548276801
Clinic/Center - Primary Care in Indian Lake, NY

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

The NPI number for Hudson Headwaters Health Network is 1548276801. It was assigned to this organization in the NPPES registry on July 31, 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.

Active since July 31, 2006

6356 NYS ROUTE 30, INDIAN LAKE, NY 12842(518) 648-5707(518) 648-6160 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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

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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 1548276801) is a healthcare organization registered as a primary care in Indian Lake, 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

NPI1548276801

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameHUDSON HEADWATERS HEALTH NETWORK

Location Address6356 NYS ROUTE 30Indian Lake, NY 12842-2021

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

Phone(518) 648-5707

Fax(518) 648-6160

Organization SubpartYes

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

Enumeration DateJuly 31, 2006

Last NPPES UpdateFebruary 23, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2024

✔ NPI 1548276801 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 Practitioner · Women's HealthTaxonomy 363LW0102X

6356 NYS ROUTE 30, Indian Lake, NY 12842

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Other Identifiers 1

Medicaid03289461NY

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

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

CHRISTOPHER H JACKSON PA-C

Physician Assistant

6356 NYS ROUTE 30
INDIAN LAKE, NY 12842

Hamilton County (518) 648-5707

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 1548276801. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Hudson Headwaters Health Network located?

Hudson Headwaters Health Network is located at 6356 Nys Route 30, Indian Lake, NY 12842. The listed phone number is (518) 648-5707.

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.