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HUDSON HEADWATERS HEALTH NETWORK
NPI 1902900111
Clinic/Center - Primary Care in Mineville, NY

Active since September 08, 2006
33 TOM PHELPS LANE, MINEVILLE, NY 12956(518) 942-7123(518) 942-7041 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2020, Nov 16, 2016 (2 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 1902900111) is a healthcare organization registered as a primary care in Mineville, 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

NPI1902900111
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHUDSON HEADWATERS HEALTH NETWORK
Location Address33 TOM PHELPS LANEMineville, NY 12956-0480
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Phone(518) 942-7123
Fax(518) 942-7041
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 1902900111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNutritionistTaxonomy 133N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
33 TOM PHELPS LANE, Mineville, NY 12956
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Other Identifiers 1

Medicaid03289654NY

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 A WOLFE PA-C
Physician Assistant
33 TOM PHELPS LANE
MINEVILLE, NY 12956
Essex County (518) 942-7123

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 1902900111. It was assigned to this organization in the NPPES registry on September 8, 2006.

Where is Hudson Headwaters Health Network located?

Hudson Headwaters Health Network is located at 33 Tom Phelps Lane, Mineville, NY 12956. The listed phone number is (518) 942-7123.

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.