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CH02179R HUDSON HEADWATERS HEALTH NETWORK (Active)
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Main Details
Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
Champlain Family Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017099
340B ID
CH02179R
Grant Number
H80CS00159
Additional Details
Current Program Status
Active
Registration Date
8/8/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/10/2012
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
828 State Route 11
Champlain, NY 12919-4819
Billing Address
Hudson Headwaters Health Network
9 Carey Road
Queensbury, NY 12804
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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