GOUVERNEUR HOSPITAL, INC. MEDICAL PROFESSIONAL GROUP – NPI #1295156412
General Acute Care Hospital

GOUVERNEUR HOSPITAL, INC. MEDICAL PROFESSIONAL GROUP is a general acute care hospital located in GOUVERNEUR, NY. NPPES has assigned the NPI number 1295156412 to GOUVERNEUR HOSPITAL, INC. MEDICAL PROFESSIONAL GROUP on December 16, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GOUVERNEUR HOSPITAL, INC. MEDICAL PROFESSIONAL GROUP” is a dba name, the actual legal business name for this organization is GOUVERNEUR HOSPITAL. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 4 years ago on Jan 04, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOUVERNEUR HOSPITAL, INC. MEDICAL PROFESSIONAL GROUP below.

NPI Profile for
GOUVERNEUR HOSPITAL

NPI Number
1295156412
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOUVERNEUR HOSPITAL
Doing Business As (dba): GOUVERNEUR HOSPITAL, INC. MEDICAL PROFESSIONAL GROUP
Primary location
77 W BARNEY ST
GOUVERNEUR, NY 13642
Phone: (315) 287-1000 Fax: (315) 535-9235
Mailing address
77 WEST BARNEY STREET
GOUVERNEUR, NY 13642
Phone: (315) 287-1000 Fax: (315) 535-9235
Organization Subpart
No
Authorized Official
DONNA MCGREGOR
CEO
Phone: (315) 261-6059
Updated
Certification Date
Jan 04, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GOUVERNEUR HOSPITAL, INC. MEDICAL PROFESSIONAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE UNIDENTIFIEDNY70060A
MEDICAIDNY1456197
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.