HUDSON HEADWATERS HEALTH NETWORK NPI 1013928159

NPI Information

NPI: 1013928159
Provider Name: HUDSON HEADWATERS HEALTH NETWORK
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3767 MAIN ST
WARRENSBURG, NY
ZIP 12885
Phone: (518) 623-2844
Get Directions

HUDSON HEADWATERS HEALTH NETWORK is a primary care clinic center in Warrensburg, NY. HUDSON HEADWATERS HEALTH NETWORK NPI is 1013928159. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3767 MAIN ST
WARRENSBURG, NY
ZIP 12885-890
Phone: (518) 623-2844
Fax: (518) 623-3416

The provider's authorized official is Christopher Tournier .
The authorized official title is Executive Vp Of Finance / Cfo and has the following contact phone number (518) 761-0300.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 1/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker			NEW YORK	No
2	122300000X	Dentist			NEW YORK	No
3	133N00000X	Nutritionist			NEW YORK	No
4	207Q00000X	Family Medicine			NEW YORK	No
5	207R00000X	Internal Medicine			NEW YORK	No
6	207V00000X	Obstetrics & Gynecology			NEW YORK	No
7	208000000X	Pediatrics			NEW YORK	No
8	208100000X	Physical Medicine & Rehabilitation			NEW YORK	No
9	213E00000X	Podiatrist			NEW YORK	No
10	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	5660200R	NEW YORK	No
11	261QP2300X	Clinic/Center	Primary Care			Yes
12	363A00000X	Physician Assistant			NEW YORK	No
13	363L00000X	Nurse Practitioner			NEW YORK	No
14	367A00000X	Advanced Practice Midwife			NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00630039	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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