Hudson Headwaters Health Network
NPI 1902900111 · Primary Care Clinic/Center · Mineville, 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 Mineville, NY (NPI 1902900111).
Provider details
- NPI number
- 1902900111
- 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, Cfo(518) 761-0300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
- Family Medicine Physician207Q00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-09-08
- Last updated
- 2024-02-23
- Certified
- 2024-02-23
Frequently asked questions
- What is Hudson Headwaters Health Network's NPI number?
- Hudson Headwaters Health Network's National Provider Identifier (NPI) is 1902900111, 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 33 Tom Phelps Lane, Mineville, NY 12956-0480.
- 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) 942-7123.
- 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, 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 (1902900111) is active in the NPPES registry as of the last update on 2024-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.