HUDSON HEADWATERS HEALTH NETWORK
NPI 1811091028
Clinic/Center - Primary Care in North Creek, NY

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

The NPI number for Hudson Headwaters Health Network is 1811091028. It was assigned to this organization in the NPPES registry on September 8, 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 September 08, 2006

126 SKI BOWL RD, NORTH CREEK, NY 12853(518) 251-2541(518) 251-3055 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 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 1811091028) is a healthcare organization registered as a primary care in North Creek, New York and active in the NPI registry since September 2006. The organization lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1811091028

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameHUDSON HEADWATERS HEALTH NETWORK

Location Address126 SKI BOWL RDNorth Creek, NY 12853-2607

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

Phone(518) 251-2541

Fax(518) 251-3055

Organization SubpartYes

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

Enumeration DateSeptember 8, 2006

Last NPPES UpdateFebruary 23, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2024

✔ NPI 1811091028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedNutritionistTaxonomy 133N00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

126 SKI BOWL RD, North Creek, NY 12853

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Other Identifiers 1

Medicaid03291027NY

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 5

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

ELLEN M DEPREY PA-C

Physician Assistant