| Gouverneur Hospital | |
|
2924 County Route 17 Dekalb Jct NY 13630-3136 | |
| (315) 347-3830 | |
| Not Available |
| Full Name | Gouverneur Hospital |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2924 County Route 17, Dekalb Jct, New York |
| Authorized Official Name and Position | Kelly J Cicchinelli (VP OF FINANCE) |
| Authorized Official Contact | 3152615102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gouverneur Hospital 50 Leroy St Potsdam NY 13676-1786 Ph: () - | Gouverneur Hospital 2924 County Route 17 Dekalb Jct NY 13630-3136 Ph: (315) 347-3830 |
| NPI Number | 1447973565 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447973565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |