GOUVERNEUR HOSPITAL (NPI# 1023449709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023449709 |
| Entity Type | Organization |
| Organization Name | GOUVERNEUR HOSPITAL |
| Practice Address |
77 W Barney St Gouverneur NY 13642-1040 |
| Practice Telephone | 3152871000 |
| Practice Fax Number | 3155359235 |
| Mailing Telephone | 3152871000 |
| Mailing Fax Number | 3155359235 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | MR. ERIC BURCH (CEO) |
| Authorized Official Telephone | 3155359231 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 4423000C | NY | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295156412 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-16 |
| 1629409925 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-12 |
| Street Address |
77 W BARNEY ST |
| City | GOUVERNEUR |
| State | NY |
| Zip Code | 13642-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940745 | Edward John Noble Hospital of Gouverneur Ny | Pharmacy | 77 W Barney St, Gouverneur, NY 13642-1040 | 2005-05-31 |
| 1306492640 | Coral Mahay | Pharmacist | 77 W Barney St, Gouverneur, NY 13642-1040 | 2019-08-13 |
| 1487215810 | Susan Kane Bradley | Pharmacist | 77 W Barney St, Gouverneur, NY 13642-1040 | 2019-06-26 |
| 1346801644 | Meghan Mcgowan | Registered Nurse | 77 W Barney St, Gouverneur, NY 13642-1040 | 2019-06-26 |
| 1578036869 | Emily Cotey | Physical Therapist | 77 W Barney St, Gouverneur, NY 13642-1040 | 2019-01-09 |
| 1336612654 | Megan Alice Morrow | Occupational Therapist | 77 W Barney St, Gouverneur, NY 13642-1040 | 2019-01-09 |
| 1871079624 | Brittany L Terpstra | Physician Assistant | 77 W Barney St, Gouverneur, NY 13642-1040 | 2018-07-16 |
| 1295156412 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-16 |
| 1629409925 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-12 |
| 1528496338 | Edward John Noble Hospital of Gouverneur Ny | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642-1040 | 2013-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730737933 | Heather Miller | Technician | 52 Cambray St, Gouverneur, NY 13642 | 2019-08-30 |
| 1295184554 | Payam Hadian | Family Medicine | 77 W Barney Street, Family Practice, Gouverneur, NY 13642 | 2016-06-08 |
| 1447484894 | Danny Len Holmes | Licensed Practical Nurse | 289 County Route #11, Gouverneur, NY 13642 | 2009-05-13 |
| 1235386657 | Alexander Edward Kuehl | Emergency Medicine | 95 Rock Island, Gouverneur, NY 13642 | 2008-08-27 |
| 1639228083 | Michael F Lapierre Pt | Physical Therapist | 173 East Main Street, Gouverneur, NY 13642 | 2007-01-08 |
| 1386748416 | Abdur R Jalazai Md PC | Internal Medicine | 63 West Barney St, Gouverneur, NY 13642 | 2006-09-11 |
| 1023052966 | Donell Jean Wright | Chiropractor | 137 E. Main Street, Suite 5, Gouverneur, NY 13642 | 2006-06-14 |
| 1699771295 | Teresa V Dombek-lang | Family Medicine | 77 W. Barney St., Gouverneur, NY 13642 | 2005-06-28 |
| 1295058410 | Jennifer Grant | Pharmacist | 29 East Main Street, Gouverneur, NY 13642 | 2010-03-02 |
| 1689872566 | Rachel I Raven | Licensed Practical Nurse | 77 W. Barney St., Gouverneur, NY 13642 | 2007-07-03 |
| Find all providers in zip 13642 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215031885 | Edward John Noble Hospital of Gouverneur Ny Swing Bed Unit | Medicare Defined Swing Bed Unit | 77 W Barney St, Gouverneur, NY 13642-1040 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992247282 | Trelawny Car Service Inc. | Medicare Defined Swing Bed Unit | 690 E 233rd St, Bronx, NY 10466-2802 | 2016-11-17 |
| 1154872216 | Nita Roy | Medicare Defined Swing Bed Unit | 59 Sunset Ave, Staten Island, NY 10314-5038 | 2016-10-24 |
| 1942691605 | Tlc Health Network | Medicare Defined Swing Bed Unit | 12644 Seneca Rd, Irving, NY 14081-9714 | 2015-02-16 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1710206560 | Richmond University Medical Center | Medicare Defined Swing Bed Unit | 22 River Ter Apt 1f, New York, NY 10282-1142 | 2010-05-19 |
| 1740442870 | Garnet Health Medical Center Catskills | Medicare Defined Swing Bed Unit | 8881 Nys Route 97, Callicoon, NY 12723 | 2008-06-30 |
| 1992772560 | Kings County Hospital Center | Medicare Defined Swing Bed Unit | 1828 E 52nd St, Brooklyn, NY 11234-3814 | 2006-03-02 |
| 1568827327 | Rachelle Alexandre-barais | Medicare Defined Swing Bed Unit | 1425 Portland Ave, Rochester, NY 14621-3001 | 2015-12-22 |
| 1891104717 | Carthage Area Hospital, Inc. | Medicare Defined Swing Bed Unit | 1001 West St, Carthage, NY 13619-9703 | 2014-08-05 |
| 1518380732 | Lewis County General Hospital | Medicare Defined Swing Bed Unit | 7785 N State St, Lowville, NY 13367-1229 | 2014-01-23 |
| Find all providers with the same taxonomy | ||||
| City | GOUVERNEUR |
| Zip Code | 13642 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.