HUDSON HEADWATERS HEALTH NETWORK — NPI 1811091028 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in NORTH CREEK, NY)

CMS-1500 Box 24J / 33a • NPI

1811091028

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QP2300X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

126 SKI BOWL RD, NORTH CREEK, NY, 12853-2607

✓ 9-Digit EDI 837 ZIP+4 (12853-2607)

Practice Phone & Referral Fax

(518) 251-2541

Fax: (518) 251-3055

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1811091028 (HUDSON HEADWATERS HEALTH NETWORK) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1811091028` (NPI-2 Organization / Facility)
Provider / Legal Name	HUDSON HEADWATERS HEALTH NETWORK
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QP2300X` (Clinic/Center, Primary Care)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	126 SKI BOWL RD, NORTH CREEK, NY, 12853-2607
Practice Telephone / Fax	Tel: (518) 251-2541 \| Fax: (518) 251-3055
Administrative Mailing Address	9 CAREY RD, QUEENSBURY, NY, 12804-7880
Enumeration & Last Sync	Enumerated: 2006-09-08 \| CMS Record Updated: 2024-02-23
Authorized Official	LAURA PASCO (Executive VP, CFO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

126 SKI BOWL RD, NORTH CREEK, NY, 12853-2607

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Plain-English Taxonomy & CMS Crosswalk (261QP2300X)

What Does Taxonomy Code 261QP2300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP2300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (HUDSON HEADWATERS HEALTH NETWORK)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: NY \| License: `Verified` \| Primary: Secondary
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: NY \| License: `Verified` \| Primary: Secondary
`213E00000X` — Podiatrist Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist	State: NY \| License: `Verified` \| Primary: Secondary
`261QF0400X` — Clinic/Center, Federally Qualified Health Center (FQHC) Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`363A00000X` — Physician Assistant Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant	State: NY \| License: `Verified` \| Primary: Secondary
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: NY \| License: `Verified` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: NY \| License: `Verified` \| Primary: Secondary
`104100000X` — Social Worker Plain English: Licensed & Credentialed Social Worker	State: NY \| License: `Verified` \| Primary: Secondary
`133N00000X` — Nutritionist Plain English: Licensed & Credentialed Nutritionist	State: NY \| License: `Verified` \| Primary: Secondary
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: NY \| License: `Verified` \| Primary: Secondary
`261QP2300X` — Clinic/Center, Primary Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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HUDSON HEADWATERS HEALTH NETWORK (NPI #1811091028)