Hudson Headwaters Health Network
LBN: Hudson Headwaters Health Network
Hudson Headwaters Health Network is an health care organization with primary practice located at 7 Stetson Rd , Tupper Lake NY 12986-2014. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Hudson Headwaters Health Network can be contacted via phone (518) 359-7222, or through Pasco, Laura via phone (518) 761-0300.
Contact Information
Primary practice address
7 Stetson Rd
Tupper Lake NY 12986-2014
Phone: (518) 359-7222
Fax: (518) 359-7664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1174146898 |
|---|---|
| LBN Legal business name | Hudson Headwaters Health Network |
| DBA Doing business as | |
| Authorized official | Pasco, Laura |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 28th, 2020 |
| Last updated | Feb 23rd, 2024 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174146898 | NPPES |
| New York | MEDICAID | 06301826 |
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