# EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Edward John Noble Hospital of Gouverneur
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316940745
- **Authorized official:** PATRICIA ROGERS (PATIENT ACCOUNTING SUPERVISOR)
- **Authorized official phone:** (315) 287-1000

## Contact information

- **Practice address:** 77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
- **Practice address phone:** (315) 535-9244
- **Practice address fax:** (315) 535-9305
- **Mailing address:** 77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
- **Mailing address phone:** (315) 287-1000
- **Mailing address fax:** (315) 535-9207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC0060X | Critical Access Hospital | 4423000C | NY | — |
| 282NR1301X | Rural Acute Care Hospital | 4423000H | NY | Yes |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | 013468 | NY | — |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 08/13/2013