{"npi":"1124320247","type":"NPI-2","status":"active","name":{"display":"Hudson Headwaters Health Network","other":[],"organization_name":"HUDSON HEADWATERS HEALTH NETWORK","authorised_official":"Laura Pasco"},"specialty":{"primary_taxonomy":"261QP2300X","primary_taxonomy_description":"Primary Care Clinic","slug":"primary-care-clinic","schema_org_specialty":"PrimaryCare","all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":null,"license":null},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":null,"license":null},{"code":"208000000X","description":"Pediatrics","primary":false,"state":null,"license":null},{"code":"213E00000X","description":"Podiatry","primary":false,"state":null,"license":null},{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":null,"license":null},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"364SF0001X","description":"Family Health Clinical Nurse Specialist","primary":false,"state":null,"license":null},{"code":"261QP2300X","description":"Primary Care Clinic","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"48 EAST ST","city":"FORT EDWARD","state":"NY","postal_code":"128281811","country_code":"US","phone":"5188248630","fax":"5188242302"},{"purpose":"MAILING","street_1":"9 CAREY RD","city":"QUEENSBURY","state":"NY","postal_code":"128047880","country_code":"US","phone":"5187610300","fax":"5188242388"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"03298482","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110524000227","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"NY","pac_id":"7416861208"}]},"enumeration_date":"2010-11-22","last_updated":"2024-02-23","_meta":{"source":"NPPES","snapshot_date":"2024-02-23","doc_url":"https://findmynpi.com/api"}}