Hudson Headwaters Health Network is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Indian Lake, New York. The current practice location for Hudson Headwaters Health Network is 6356 Nys Route 30, Indian Lake, New York. For appointments, you can reach them via phone at
(518) 648-5707. The mailing address for Hudson Headwaters Health Network is 9 Carey Rd, Queensbury, New York and phone number is (518) 761-0300.
Hudson Headwaters Health Network is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1548276801. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(518) 648-5707.
Primary Care Clinic Profile
| Full Name | Hudson Headwaters Health Network |
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| Speciality | Clinic/Center |
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| Location | 6356 Nys Route 30, Indian Lake, New York |
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| Authorized Official Name and Position | Laura Pasco (EXECUTIVE VP, CFO) |
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| Authorized Official Contact | 5187610300 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Hudson Headwaters Health Network
9 Carey Rd
Queensbury
NY 12804-7880
Ph: (518) 761-0300 | Hudson Headwaters Health Network
6356 Nys Route 30
Indian Lake
NY 12842-2021
Ph: (518) 648-5707 |
NPI Details:
| NPI Number | 1548276801 |
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| Provider Enumeration Date | 07/31/2006 |
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| Last Update Date | 02/23/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7416861208 |
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| Medicare Enrollment ID | O20090821000445 |
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Medical Identifiers
Medical identifiers for Hudson Headwaters Health Network such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548276801 | NPI | - | NPPES |
| 03289461 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | (* (Not Available)) | Secondary |
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