EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY; NPI #1316940745

Contact Information

EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY

77 W BARNEY ST
GOUVERNEUR, NY 13642-1040

Phone: 315-535-9244
Fax: 315-535-9305
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural	282NR1301X
Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist
Critical Access	282NC0060X	A0[7]	Critical Access Hospital
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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

NPI # 1316940745

LBN Legal business name EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY

Authorized official PATRICIA ROGERS - (PATIENT ACCOUNTING SUPERVISOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/31/2005

Last updated 08/13/2013 - About 13 years ago

Identifiers

NY	License #	013468
NY	License #	4423000C
NY	License #	4423000H
NY	Medicaid	00354256
	Other	5805784	NCPDP PROVIDER IDENTIFICATION NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY

Contact Information

Specialty

Rural

Clinic Pharmacy

Critical Access

Pharmacy

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

Reviews for EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY