HUDSON HEADWATERS HEALTH NETWORK NPI 1194738344

NPI Information

NPI: 1194738344
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 1194738344. 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 Laura Pasco .
The authorized official title is Executive Vp, Cfo and has the following contact phone number (518) 761-0300.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 2/23/2024.

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 State	Primary
1	104100000X	Social Worker		NEW YORK	No
2	207Q00000X	Family Medicine		NEW YORK	No
3	207R00000X	Internal Medicine		NEW YORK	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	NEW YORK	No
5	207V00000X	Obstetrics & Gynecology		NEW YORK	No
6	207X00000X	Orthopaedic Surgery		NEW YORK	No
7	207Y00000X	Otolaryngology		NEW YORK	No
8	208000000X	Pediatrics		NEW YORK	No
9	213E00000X	Podiatrist		NEW YORK	No
10	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		No
11	261QU0200X	Clinic/Center	Urgent Care	NEW YORK	No
12	363A00000X	Physician Assistant		NEW YORK	No
13	363L00000X	Nurse Practitioner		NEW YORK	No
14	367A00000X	Advanced Practice Midwife		NEW YORK	No
15	261QP2300X	Clinic/Center	Primary Care		Yes

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	03289907	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »