340B Drug Pricing Program Database
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CH02179K HUDSON HEADWATERS HEALTH NETWORK (Active)
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Main Details
Name
HUDSON HEADWATERS HEALTH NETWORK
Subdivision Name
MOREAU FAMILY HEALTH
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029667
340B ID
CH02179K
Grant Number
H80CS00159
Additional Details
Current Program Status
Active
Registration Date
4/1/2001
Participating Start Date
4/1/2001
Participating Approval Date
6/1/2005
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
1299 ROUTE 9
Gansevoort, NY 12831
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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4/3/12 - Changed AO ext from 114 and Contact ext from 221. 7/22/09 UPDATED BILLING ADDR (WAS 1 BROAD STREET PLAZA P.O. BOX 357 GLENS FALLS NY 12801); 7/22/09 ADDR CHANGE(WAS 10154 SARATOGA ROAD); 6/1/05 ADDED STREET ADDRESS; 5/2/08 ADDED BILL TO ADDR
04/03/2012
7/22/09 UPDATED BILLING ADDR (WAS 1 BROAD STREET PLAZA P.O. BOX 357 GLENS FALLS NY 12801); 7/22/09 ADDR CHANGE(WAS 10154 SARATOGA ROAD); 6/1/05 ADDED STREET ADDRESS; 5/2/08 ADDED BILL TO ADDR
07/22/2009
April 2025
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