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 (EXECUTIVE VP OF FINANCE / CFO)
(518) 761-0300
Entity
Organization
Contact information
Practice address
118 BROAD ST, GLENS FALLS, NY 12801-4348
(518) 792-2223
(518) 636-2077
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
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04280466
—
NY
Enumeration date
09/30/2015
Last updated
01/31/2020
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