Hudson Headwaters Health Network
NPI 1003691064 · Primary Care Clinic/Center · Malone, NY
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hudson Headwaters Health Network is a Primary Care Clinic/Center organization in Malone, NY (NPI 1003691064).
Provider details
- NPI number
- 1003691064
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Hudson Headwaters Health Network
- Organization subpart
- Yes
- Authorized official
- Laura Pasco, Executive Vp, Finance & Cfo(518) 761-0300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-29
- Last updated
- 2026-03-07
- Certified
- 2026-03-07
Frequently asked questions
- What is Hudson Headwaters Health Network's NPI number?
- Hudson Headwaters Health Network's National Provider Identifier (NPI) is 1003691064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hudson Headwaters Health Network?
- Hudson Headwaters Health Network is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Hudson Headwaters Health Network located?
- Hudson Headwaters Health Network's practice location on file with NPPES is 24 4th St, Malone, NY 12953-1350.
- What is Hudson Headwaters Health Network's phone number?
- The practice phone number listed in the NPPES registry for Hudson Headwaters Health Network is (518) 824-2562.
- Does Hudson Headwaters Health Network accept Medicare?
- Hudson Headwaters Health Network is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Hudson Headwaters Health Network?
- The authorized official listed on Hudson Headwaters Health Network's NPPES record is Laura Pasco, Executive Vp, Finance & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hudson Headwaters Health Network's NPI active?
- Yes — Hudson Headwaters Health Network's NPI (1003691064) is active in the NPPES registry as of the last update on 2026-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.