| Gouverneur Hospital | |
|
8 Church St Gouverneur NY 13642-1416 | |
| (315) 287-1000 | |
| Not Available |
| Full Name | Gouverneur Hospital |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 8 Church St, Gouverneur, New York |
| Authorized Official Name and Position | Kelly J Cicchinelli (CFO) |
| Authorized Official Contact | 3152615102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gouverneur Hospital 77 W Barney St Gouverneur NY 13642-1040 Ph: () - | Gouverneur Hospital 8 Church St Gouverneur NY 13642-1416 Ph: (315) 287-1000 |
| NPI Number | 1508581901 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508581901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Timothy W. Moon,do, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-287-3285 Fax: 315-287-3280 | |
Abdur R Jalazai Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 West Barney St, Gouverneur, NY 13642 Phone: 315-287-1770 Fax: 315-287-1170 |