Organization
HUDSON HEADWATERS HEALTH NETWORK
Active
Parent organization
HUDSON HEADWATERS HEALTH NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUDSON HEADWATERS HEALTH NETWORK
Authorized official
LAURA PASCO (EXECUTIVE VP, CFO)
(518) 761-0300
Entity
Organization
Contact information
Practice address
27 HYLAND DR, LAKE LUZERNE, NY 12846-3923
(518) 824-2580
(518) 824-2579
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 824-2388
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
07/23/2019
Last updated
02/23/2024
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