Organization · Type 2 NPI

Hudson Headwaters Health Network

Primary Care Clinic/Center · Fort Edward, NY

NPI number 1124320247 Active

Practice location

48 East St
Fort Edward, NY 12828-1811

Call (518) 824-8630 Map

Fax (518) 824-2302

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Pediatrics Physician 208000000XNone listed
Podiatrist 213E00000XNone listed
Federally Qualified Health Center (FQHC) 261QF0400XNone listed
Primary Care Clinic/Center Primary 261QP2300XNone listed
Physician Assistant 363A00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Family Health Clinical Nurse Specialist 364SF0001XNone listed

Primary Care Clinic/Center: Definition to come...

13 other providers at this address

About NPI 1124320247

Hudson Headwaters Health Network's National Provider Identifier is 1124320247, issued on Nov 22, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fort Edward, NY. The record was last updated on Feb 23, 2024.