Organization
LEWIS COUNTY GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BURCH (CHIEF EXECUTIVE OFFICER)
(315) 376-5203
Entity
Organization
Contact information
Practice address
7785 N STATE ST, LOWVILLE, NY 13367-1229
(315) 368-3831
Mailing address
7785 N STATE ST, LOWVILLE, NY 13367-1229
(315) 368-3831
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03507980
—
NY
Enumeration date
09/14/2012
Last updated
09/11/2013
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