| Hudson Headwaters Health Network | |
| 
					16 3rd St Ste A Malone NY 12953-1367  | |
| (518) 824-2562 | |
| (833) 941-5091 | 
| Full Name | Hudson Headwaters Health Network | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 16 3rd St Ste A, Malone, New York | 
| Authorized Official Name and Position | Laura Pasco (EXECUTIVE VP, CFO) | 
| Authorized Official Contact | 5187610300 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Hudson Headwaters Health Network 9 Carey Rd Queensbury NY 12804-7880 Ph: (518) 761-0300  | Hudson Headwaters Health Network 16 3rd St Ste A Malone NY 12953-1367 Ph: (518) 824-2562  | 
| NPI Number | 1003691064 | 
|---|---|
| Provider Enumeration Date | 08/29/2023 | 
| Last Update Date | 02/23/2024 | 
| Medicare PECOS PAC ID | 7416861208 | 
|---|---|
| Medicare Enrollment ID | O20240223001141 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003691064 | NPI | - | NPPES | 
Alice Hyde Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-481-2210 Fax: 518-481-2662  | |
Anjni G Bhagat Physician P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Clay St, Malone, NY 12953 Phone: 518-483-0705 Fax: 518-483-1375  | |
Malone Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 3rd St, Malone, NY 12953 Phone: 518-483-4400 Fax: 518-483-1333  | |
Jonathan Lowell, M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Park St, Malone, NY 12953 Phone: 518-483-1120  | |
Rajiv S Shah Physician P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Clay St, Malone, NY 12953 Phone: 518-483-0705 Fax: 518-483-1375  | |
North Country Health Care, Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 4th St, Malone, NY 12953 Phone: 518-481-6044 Fax: 518-481-6043  |