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GOUVERNEUR HOSPITAL
NPI 1447973565
Clinic/Center - Rural Health in Dekalb Jct, NY

Active since September 23, 2022
2924 COUNTY ROUTE 17, DEKALB JCT, NY 13630(315) 347-3830 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gouverneur Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOUVERNEUR HOSPITAL (NPI 1447973565) is a healthcare organization registered as a rural health in Dekalb Jct, New York and active in the NPI registry since September 2022. The organization lists Kelly J Cicchinelli, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1447973565
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGOUVERNEUR HOSPITAL
Location Address2924 COUNTY ROUTE 17Dekalb Jct, NY 13630-3136
Mailing Address50 Leroy StPotsdam, NY 13676-1786
Phone(315) 347-3830
Organization SubpartNo
Authorized OfficialKelly J CicchinelliVp Of Finance · (315) 261-5102
Enumeration DateSeptember 23, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1447973565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2924 COUNTY ROUTE 17, Dekalb Jct, NY 13630
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANI LEIGH BICKEL PA
Physician Assistant
2924 COUNTY ROUTE 17
DEKALB JUNCTION, NY 13630
St. Lawrence County (315) 347-3830
KIMBERLY M HADIAN MD
Family Medicine
2924 COUNTY ROUTE 17
DEKALB, NY 13630
St. Lawrence County (315) 347-3830
NICOLE LYNN COATES NP
Nurse Practitioner (Family)
2924 COUNTY ROUTE 17
DEKALB JUNCTION, NY 13630
St. Lawrence County (315) 347-3830
RONALD E SIMMONS PAC
Physician Assistant
2924 COUNTY ROUTE 17
DEKALB JUNCTION, NY 13630
St. Lawrence County (315) 347-3830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gouverneur Hospital's NPI number?

The NPI number for Gouverneur Hospital is 1447973565. It was assigned to this organization in the NPPES registry on September 23, 2022.

Where is Gouverneur Hospital located?

Gouverneur Hospital is located at 2924 County Route 17, Dekalb Jct, NY 13630. The listed phone number is (315) 347-3830.

What is Gouverneur Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Gouverneur Hospital was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.