Hudson Headwaters Health Network

LBN: Hudson Headwaters Health Network
Hudson Headwaters Health Network is an health care organization with primary practice located at 33 Tom Phelps Lane , Mineville NY 12956-0480. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Dietary & Nutritional Service Providers / Nutritionist, Allopathic & Osteopathic Physicians / Family Medicine, 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 / Nurse Practitioner. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Hudson Headwaters Health Network can be contacted via phone (518) 942-7123, or through Pasco, Laura via phone (518) 761-0300.

Contact Information

Primary practice address
33 Tom Phelps Lane Mineville NY 12956-0480
Phone: (518) 942-7123
Fax: (518) 942-7041
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
Dietary & Nutritional Service Providers / Nutritionist 133N00000X New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X New York
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 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X New York

Profile Details

NPI number 1902900111
LBN Legal business name Hudson Headwaters Health Network
DBA Doing business as
Authorized official Pasco, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 8th, 2006
Last updated Feb 23rd, 2024 - about last year

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 1902900111 NPPES
New York MEDICAID 03289654

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