Organization Active NPI

Hudson River Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pine Plains, NY
National Provider Identifier
1083778385
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HUDSON RIVER HEALTHCARE, INC.
Practice address
11 Pilch Street
Hudson River Healthcare, Inc.
Pine Plains, NY 12567
Phone
(845) 398-1100
Fax
(845) 398-7108
NPI assigned
Dec 20, 2006
Last updated
May 2, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
HUDSON RIVER HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anne K. Nolon
Title
Ceo
Phone
(914) 734-8747

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

11 Pilch Street
Hudson River Healthcare, Inc.
Pine Plains, NY 12567

Mailing address

1200 Brown St
4TH Floor - Credentialing
Peekskill, NY 10566-3617
Phone (914) 734-8600

Other identifiers 1

IdentifierTypeStateIssuer
00473038MedicaidNY

National Provider Directory

National Provider Directory
Part of
Michael J Gallina

Locations

11 Pilch Dr
Pine Plains, NY 12567
Phone (518) 398-1100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1083778385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROWN ST",
            "address_2": "4TH FLOOR - CREDENTIALING",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105663617",
            "telephone_number": "914-734-8600",
            "fax_number": "914-734-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PILCH STREET",
            "address_2": "HUDSON RIVER HEALTHCARE, INC.",
            "city": "PINE PLAINS",
            "state": "NY",
            "postal_code": "12567",
            "telephone_number": "845-398-1100",
            "fax_number": "845-398-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON RIVER HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUDSON RIVER HEALTHCARE, INC.",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "NOLON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-734-8747"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473038",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.