| Organization Name: | CANTON-POTSDAM HOSPITAL |
| NPI Number: | 1114104445 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD D JACOBS (V.P. FOR FINANCE) |
| Mailing Address: | 50 Leroy St Potsdam |
| State: | NY US |
| Postal Code: | 136761786 |
| Phone Number: | 3152615100 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2008 |
| NPI Last Update Date: | 05/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | 4429000H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |