| Gouverneur Family Health Np | |
| 
					8 Clark St Philadelphia NY 13673-5000  | |
| (315) 804-5753 | |
| Not Available | 
| Full Name | Gouverneur Family Health Np | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | 8 Clark St, Philadelphia, New York | 
| Authorized Official Name and Position | John L Welborn (OWNER) | 
| Authorized Official Contact | 3158045753 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gouverneur Family Health Np 8 Clark St Philadelphia NY 13673-5000 Ph: (315) 804-5753  | Gouverneur Family Health Np 8 Clark St Philadelphia NY 13673-5000 Ph: (315) 804-5753  | 
| NPI Number | 1487452082 | 
|---|---|
| Provider Enumeration Date | 03/07/2025 | 
| Last Update Date | 03/07/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487452082 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary | 
Carthage Area Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32787 Us Route 11, Philadelphia, NY 13673 Phone: 315-642-0216 Fax: 315-654-0928  |