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Hudson Headwaters Health Network
Primary Care Clinic/Center in Champlain, New York
NPI 1245285170

Hudson Headwaters Health Network is a Primary Care Clinic/Center based in Queensbury, NY and is specialized in Primary Care. Hudson Headwaters Health Network practices in Champlain, NY. The NPI Number for Hudson Headwaters Health Network is 1245285170 and holds a License No. (New York).

The current practice location address for Hudson Headwaters Health Network is 828 State Route 11, Champlain, NY and can be reached out via phone at 518-298-2691 and via fax at 518-298-8241.

Location: 828 State Route 11, Champlain, NY, 12804-7880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245285170
Provider Name
Hudson Headwaters Health Network
Credential
Provider Entity Type
Organization
Address
828 State Route 11, Champlain, NY, 12804-7880
Phone Number
518-298-2691
Fax Number
518-298-8241
Provider Enumeration Date
05/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02384669 05 NY
institution
Provider Business Practice Location Address Details
Address
828 State Route 11
City
Champlain
State
New York
Zip
12919-4966
Phone Number
518-298-2691
Fax Number
518-298-8241
person
Provider Business Mailing Address Details
Address
828 State Route 11
City
Champlain
State
New York
Zip
12919-4966
Phone Number
518-298-2691
Fax Number
518-298-8241
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
(New York)
Definition
Definition to come...
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