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CH02179P HUDSON HEADWATERS HEALTH NETWORK (Active)
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Main Details
Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
Ft Edward-Kingsbury Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010200
340B ID
CH02179P
Grant Number
H80CS00159
Additional Details
Current Program Status
Active
Registration Date
8/8/2011
Participating Start Date
8/15/2011
Participating Approval Date
8/10/2011
Last Recertification Date
2/10/2025
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
48 EAST STREET
FORT EDWARD, NY 12828
Billing Address
HUDSON HEADWATERS HEALTH NETWORK
9 CAREY RD.
QUEENSBURY, NY 12804
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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