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Contact Information

HUDSON HEADWATERS HEALTH NETWORK
1305 ROUTE 9
GANSEVOORT, NY12831
 Phone: 888-291-9195
 Fax: 518-478-6264
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HUDSON HEADWATERS HEALTH NETWORK

NPI # 1245917871
LBN Legal business name HUDSON HEADWATERS HEALTH NETWORK
Authorized official JOEL WRIGHT - (PRESIDENT PHARMACY SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2023
Last updated 03/27/2025 - More than a year ago
Identifiers
NY Medicaid 08089521
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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