Organization · Type 2 NPI

Hudson Headwaters Health Network

Federally Qualified Health Center (FQHC) · Ticonderoga, NY

NPI number 1699056291 Active

Practice location

1019 Wicker St
Ticonderoga, NY 12883-1039

Call (518) 745-5936 Map

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X5660200R (NY)

Federally Qualified Health Center (FQHC): Definition to come...

18 other providers at this address

About NPI 1699056291

Hudson Headwaters Health Network's National Provider Identifier is 1699056291, issued on Sep 9, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ticonderoga, NY. The record was last updated on Nov 16, 2016.