National Provider Identifier Database

EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY
Rural


Contact Information

EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY
77 W BARNEY ST
GOUVERNEUR, NY13642-1040
Phone: 315-535-9244
Fax: 315-535-9305
Website:
Specialty Taxonomy Code
* Rural 282NR1301X
Clinic Pharmacy 3336C0002X
Critical Access 282NC0060X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY

NPI Number 1316940745
Legal business name
LBN
EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY
Authorized official PATRICIA ROGERS - (PATIENT ACCOUNTING SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 05/31/2005
Last updated 08/13/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 013468
  • NY License #: 4423000C
  • NY License #: 4423000H
  • NY Medicaid: 00354256
  • Other: 5805784 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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