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HUDSON HEADWATERS HEALTH NETWORK
NPI 1699056291
Clinic/Center - Federally Qualified Health Center (FQHC) in Ticonderoga, NY

Active since September 09, 2011
1019 WICKER ST, TICONDEROGA, NY 12883(518) 745-5936 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 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 1699056291) is a healthcare organization registered as a federally qualified health center (fqhc) in Ticonderoga, New York and active in the NPI registry since September 2011. The organization lists Christopher Tournier, Cfo, as its authorized official.

NPPES Registry Identity

NPI1699056291
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHUDSON HEADWATERS HEALTH NETWORK
Location Address1019 WICKER STTiconderoga, NY 12883-1039
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Phone(518) 745-5936
Organization SubpartYes
Authorized OfficialChristopher TournierCfo · (518) 761-0300
Enumeration DateSeptember 9, 2011
Last NPPES UpdateNovember 16, 2016
✔ NPI 1699056291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in NY · 5660200R
1019 WICKER ST, Ticonderoga, NY 12883
Open in Google Maps ↗

Other Identifiers 1

Medicare OSCAR/certification331893NY

Other Providers at the Same Location NPPES 19

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

KIM VILARDO PT
Physical Therapist
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3810
NORTH COUNTRY SPORTS MEDICINE PLLC
Orthopaedic Surgery
1019 WICKER ST, MOSES LUDINGTON HOSPITAL
TICONDEROGA, NY 12883
Essex County (518) 793-9156
MOSES-LUDINGTON HOSPITAL
General Acute Care Hospital (Critical Access)
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3700
INTER LAKES MEDICAL SUPPLY INC
Durable Medical Equipment & Medical Supplies
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3734
MOSES-LUDINGTON HOSPITAL
General Acute Care Hospital (Critical Access)
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3810
MRS. FRANCINE BRETT BASSETT FNP
Nurse Practitioner (Family)
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3700
KATHERINE K SHMULSKY PHARM D
Pharmacist
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3755
MOSES LUDINGTON HOSPITAL
General Acute Care Hospital (Critical Access)
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3855

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 1699056291. It was assigned to this organization in the NPPES registry on September 9, 2011.

Where is Hudson Headwaters Health Network located?

Hudson Headwaters Health Network is located at 1019 Wicker St, Ticonderoga, NY 12883. The listed phone number is (518) 745-5936.

What is Hudson Headwaters Health Network's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Hudson Headwaters Health Network was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.