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
CHRISTOPHER TOURNIER (CFO)
(518) 761-0300
Entity
Organization
Contact information
Practice address
1019 WICKER ST, TICONDEROGA, NY 12883-1039
(518) 745-5936
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
5660200R
NY
Other
Enumeration date
09/09/2011
Last updated
11/16/2016
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