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CH02179AE HUDSON HEADWATERS HEALTH NETWORK (Terminated)
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Main Details
Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
Warren Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006623
340B ID
CH02179AE
Grant Number
H80CS00159
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/12/2021
Last Recertification Date
2/9/2023
Termination Date
Termination Reason
4/1/2024
Other
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
42 Gurney Ln
Queensbury, NY 12804-8250
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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