Gouverneur Hospital, Inc. Medical Professional Group

LBN: Gouverneur Hospital
Gouverneur Hospital, Inc. Medical Professional Group is an health care organization with primary practice located at 77 W Barney St , Gouverneur NY 13642. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Gouverneur Hospital can be contacted via phone (315) 287-1000, or through Mcgregor, Donna via phone (315) 261-6059.

Contact Information

Primary practice address
77 W Barney St Gouverneur NY 13642
Phone: (315) 287-1000
Fax: (315) 535-9235
Website:
Map and Directions
Authorized official contact:
Name: Mcgregor, Donna
Phone: (315) 261-6059

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X
Hospitals / Critical Access 282NC0060X 4423701C New York

Profile Details

NPI number 1295156412
LBN Legal business name Gouverneur Hospital
DBA Doing business as Gouverneur Hospital, Inc. Medical Professional Group
Authorized official Mcgregor, Donna
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2013
Last updated Jan 4th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295156412 NPPES
New York Other 70060A MEDICARE UNIDENTIFIED
New York MEDICAID 1456197 MEDICARE UNIDENTIFIED

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