NPIMap

Organization Active NPI

Edward John Noble Hospital of Gouverneur Ny

  • Critical Access Hospital
  • Gouverneur, NY
National Provider Identifier
1528496338
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
4423700C Issued in NY
Legal business name
EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY
Practice address
77 W Barney St
Gouverneur, NY 13642-1040
Phone
(315) 287-1000
Fax
(315) 535-9207
NPI assigned
Oct 15, 2013
Last updated
Oct 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Patricia A Rogers
Title
Patient Accounting Supervisor
Phone
(315) 535-9202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 4423700C NY 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

National Provider Directory

National Provider Directory
Tax ID family
Edward John Noble Hospital of Gouverneur Ny3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1528496338",
    "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PATIENT ACCOUNTING SUPERVISOR",
        "authorized_official_telephone_number": "315-535-9202"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NY",
            "license": "4423700C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 15, 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.