NPIMap

Organization Active NPI

Edward John Noble Hospital of Gouverneur Ny Swing Bed Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Gouverneur, NY
National Provider Identifier
1215031885
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY SWING BED UNIT
Practice address
77 W Barney St
Gouverneur, NY 13642-1040
Phone
(315) 287-1000
Fax
(315) 535-9207
NPI assigned
Sep 12, 2006
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Rogers
Title
Patient Accounting Supervisor
Phone
(315) 287-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

77 W Barney St
Gouverneur, NY 13642-1040

Mailing address

77 W Barney St
Gouverneur, NY 13642-1040
Phone (315) 287-1000

Other identifiers 1

IdentifierTypeStateIssuer
00354256MedicaidNY

Other names 1

  • EJ NOBLE HOSPITAL Other name

National Provider Directory

National Provider Directory
Tax ID family
Gouverneur Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1215031885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W BARNEY ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421040",
            "telephone_number": "315-287-1000",
            "fax_number": "315-535-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W BARNEY ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421040",
            "telephone_number": "315-287-1000",
            "fax_number": "315-535-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY SWING BED UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PATIENT ACCOUNTING SUPERVISOR",
        "authorized_official_telephone_number": "315-287-1000"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354256",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EJ NOBLE HOSPITAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gouverneur, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.