EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY (NPI# 1316940745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316940745 |
| Entity Type | Organization |
| Organization Name | EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY |
| Other Organization Name | EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR |
| Practice Address |
77 W Barney St Gouverneur NY 13642-1040 |
| Practice Telephone | 3155359244 |
| Practice Fax Number | 3155359305 |
| Mailing Telephone | 3152871000 |
| Mailing Fax Number | 3155359207 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2013-08-13 |
| Authorized Official Name | PATRICIA ROGERS (PATIENT ACCOUNTING SUPERVISOR) |
| Authorized Official Telephone | 3152871000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
013468 | NY | Suppliers |
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
4423000C | NY | Hospitals |
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
4423000H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5805784 | 01 | |
| NY | 00354256 | 05 |
| Other Name | Type Code |
|---|---|
| Edward John Noble Hospital of Gouverneur | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528496338 | Edward John Noble Hospital of Gouverneur Ny | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642-1040 | 2013-10-15 |
| Street Address |
77 W BARNEY ST |
| City | GOUVERNEUR |
| State | NY |
| Zip Code | 13642-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033533492 | Carolyn Fafinski | General Acute Care Hospital | 138 Fizell Ave, Dunkirk, NY 14048-1371 | 2014-02-05 |
| 1750657847 | Suny Downstate | General Acute Care Hospital | 7420 Ridge Blvd, Apt 1c, Brooklyn, NY 11209-2356 | 2012-03-22 |
| 1184998874 | Jacobi Medical Center | General Acute Care Hospital | 1400 Pelham Pkwy, Internal Medicine Dept, Bronx, NY 10461 | 2012-02-28 |
| 1497063986 | Emlhurst Hospital Center | General Acute Care Hospital | 219 Lakeside Trl, Ridge, NY 11961-2209 | 2010-09-17 |
| 1801117668 | Richmond Univesity | General Acute Care Hospital | 49 Autumn Cir, Yonkers, NY 10703-1605 | 2010-06-16 |
| 1982861605 | Brookdale University Hospital | General Acute Care Hospital | 16410 84th Ave Apt 4k, Jamaica, NY 11432-1803 | 2008-05-20 |
| 1891862579 | Bassett Hospital of Schoharie County | General Acute Care Hospital | 178 Grandview Dr, Cobleskill, NY 12043-5144 | 2006-11-29 |
| 1013985399 | St James Hospital | General Acute Care Hospital | 7329 Seneca Road North, Hornell, NY 14843 | 2006-03-10 |
| 1336145168 | Nathan Littauer Hospital Association | General Acute Care Hospital | 99 E State St, Gloversville, NY 12078-1203 | 2005-06-27 |
| 1588106223 | Healthalliance Hospital | General Acute Care Hospital | 396 Broadway, Kingston, NY 12401-4626 | 2016-11-11 |
| Find all providers with the same taxonomy | ||||
| City | GOUVERNEUR |
| Zip Code | 13642 |
Please comment or provide details below to improve the information on EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY.
| 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.