Organization Name: | GOUVERNEUR HOSPITAL INC. |
NPI Number: | 1629409925 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD T LANG (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 77 W Barney St Gouverneur |
State: | NY US |
Postal Code: | 136421040 |
Phone Number: | 3152871000 |
Fax Number: | 3155359235 |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |