Organization
GOUVERNEUR HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY J CICCHINELLI (CFO)
(315) 261-5102
Entity
Organization
Contact information
Practice address
8 CHURCH ST, GOUVERNEUR, NY 13642-1416
(315) 287-1000
Mailing address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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