| Hudson Headwaters Health Network | |
|
161 Carey Rd Queensbury NY 12804-7821 | |
| (518) 824-8610 | |
| (518) 824-2390 |
| Full Name | Hudson Headwaters Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 161 Carey Rd, Queensbury, New York |
| Authorized Official Name and Position | Laura Pasco (EXECUTIVE VP, CFO) |
| Authorized Official Contact | 5187610300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Headwaters Health Network 9 Carey Rd Queensbury NY 12804-7880 Ph: (518) 761-0300 | Hudson Headwaters Health Network 161 Carey Rd Queensbury NY 12804-7821 Ph: (518) 824-8610 |
| NPI Number | 1013292002 |
|---|---|
| Provider Enumeration Date | 10/21/2011 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 7416861208 |
|---|---|
| Medicare Enrollment ID | O20111214000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013292002 | NPI | - | NPPES |
| 03470413 | Medicaid | NY |
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