HUDSON HEADWATERS HEALTH NETWORK NPI 1699056291

NPI Information

NPI: 1699056291
Provider Name: HUDSON HEADWATERS HEALTH NETWORK
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1019 WICKER ST
TICONDEROGA, NY
ZIP 12883
Phone: (518) 745-5936
Get Directions

HUDSON HEADWATERS HEALTH NETWORK is a federally qualified health center (fqhc) clinic center in Ticonderoga, NY. HUDSON HEADWATERS HEALTH NETWORK NPI is 1699056291. The provider is registered as an organization entity type.

The provider's business location address is:

1019 WICKER ST
TICONDEROGA, NY
ZIP 12883-039
Phone: (518) 745-5936

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

The enumeration date for this NPI number is 9/9/2011 and was last updated on 11/16/2016.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	5660200R	NEW YORK	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	331893	MEDICARE OSCAR/CERTIFICATION	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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