GOUVERNEUR HOSPITAL (NPI# 1629409925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629409925 |
| Entity Type | Organization |
| Organization Name | GOUVERNEUR HOSPITAL |
| Practice Address |
77 W Barney St Gouverneur NY 13642 |
| Mailing Address |
77 West Barney Street Gouverneur NY 13642 |
| Practice Telephone | 3152871000 |
| Practice Fax Number | 3155359235 |
| Mailing Telephone | 3152871000 |
| Mailing Fax Number | 3155359235 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | ERIC BURCH (COO) |
| Authorized Official Telephone | 3152617301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
4423701C | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 3001576 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295156412 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-16 |
| 1023449709 | Gouverneur Hospital | Medicare Defined Swing Bed Unit | 77 W Barney St, Gouverneur, NY 13642-1040 | 2013-12-06 |
| Street Address |
77 W BARNEY ST |
| City | GOUVERNEUR |
| State | NY |
| Zip Code | 13642 |
| 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 |
| 1023449709 | Gouverneur Hospital | Medicare Defined Swing Bed Unit | 77 W Barney St, Gouverneur, NY 13642-1040 | 2013-12-06 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295156412 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-16 |
| 1528496338 | Edward John Noble Hospital of Gouverneur Ny | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642-1040 | 2013-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740658277 | Saint Barnabas Health System | General Acute Care Hospital | 2132 Wallace Ave, Apt-242, Bronx, NY 10462-2573 | 2015-09-15 |
| 1124412101 | Matthew Scott Stephany | General Acute Care Hospital | 356 Brush Creek Dr, Rochester, NY 14612-2270 | 2015-03-26 |
| 1235522764 | Lei Meng | General Acute Care Hospital | 39 Claremont Ave, Apt 82, New York, NY 10027 | 2015-03-09 |
| 1225437650 | 37th Ave Pharmacy Inc | General Acute Care Hospital | 9507 37th Ave, Jackson Heights, NY 11372-8024 | 2014-08-21 |
| 1326454372 | Liza John | General Acute Care Hospital | 97 Beaumont Cir, Apt-1, Yonkers, NY 10710-2032 | 2014-07-09 |
| 1699106187 | Nslij | General Acute Care Hospital | 1999 Marcus Ave Ste 106c, New Hyde Park, NY 11042-1028 | 2013-12-09 |
| 1588005466 | Newyork Presbyterian Hospital | General Acute Care Hospital | 109 Alpine Rd, Yonkers, NY 10710-2022 | 2013-07-08 |
| 1548601578 | New York Community Hospital, Brooklyn | General Acute Care Hospital | 8922 133rd St, 2nd Floor, Richmond Hill, NY 11418-2813 | 2013-07-06 |
| 1144565177 | Suny Downstate Medical Center | General Acute Care Hospital | 2 Fuschetto Ct, Farmingdale, NY 11735-4262 | 2012-12-03 |
| 1417205931 | Harlem Hospital | General Acute Care Hospital | 506 Lenox Avenue, 14th Floor, Room 106, New York, NY 10037 | 2012-08-15 |
| 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.