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CH02179AM HUDSON HEADWATERS HEALTH NETWORK (Approved)
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Main Details
Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
Salem Family Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-040081
340B ID
CH02179AM
Grant Number
H80CS00159
Additional Details
Current Program Status
Approved
Registration Date
5/28/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/29/2025
Last Recertification Date
Contacts
Authorizing Official
Hudson Headwaters Health Network
Laura Pasco, EVP, Chief Financial Officer
(518) 761-0300 Ext: 31553
Primary Contact
Hudson Headwaters Health Network
Katelyn Keys, Director of 340B Compliance
(518) 761-0300 Ext: 31324
Addresses
Street Address
1830 County Route 64
Salem, NY 12865-3404
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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