Hudson Headwaters Health Network

LBN: Hudson Headwaters Health Network
Hudson Headwaters Health Network is an health care organization with primary practice located at 48 East St , Fort Edward NY 12828-1811. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Podiatric Medicine & Surgery Service Providers / Podiatrist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Hudson Headwaters Health Network can be contacted via phone (518) 824-8630, or through Pasco, Laura via phone (518) 761-0300.

Contact Information

Primary practice address
48 East St Fort Edward NY 12828-1811
Phone: (518) 824-8630
Fax: (518) 824-2302
Website:
Map and Directions
Authorized official contact:
Name: Pasco, Laura
Phone: (518) 761-0300

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X

Profile Details

NPI number 1124320247
LBN Legal business name Hudson Headwaters Health Network
DBA Doing business as
Authorized official Pasco, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 22nd, 2010
Last updated Feb 23rd, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124320247 NPPES
New York MEDICAID 03298482

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