| Hudson Headwaters Health Network | |
|
3761 Main St Warrensburg NY 12885-1837 | |
| (518) 623-3918 | |
| (518) 623-4330 |
| Full Name | Hudson Headwaters Health Network |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3761 Main St, Warrensburg, New York |
| Authorized Official Name and Position | Laura Pasco (EXECUTIVE VP, CFO) |
| Authorized Official Contact | 5187610300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Headwaters Health Network 9 Carey Rd Queensbury NY 12804-7880 Ph: (518) 761-0300 | Hudson Headwaters Health Network 3761 Main St Warrensburg NY 12885-1837 Ph: (518) 623-3918 |
| NPI Number | 1073529301 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073529301 | NPI | - | NPPES |
| 03289892 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (New York) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |