Edward John Noble Hospital Of Gouverneur Ny
Rural
77 W Barney St, Gouverneur
New York, 13642-1040
315-535-9244 315-535-9305
Edward John Noble Hospital Of Gouverneur Ny is a Rural in Gouverneur, New York. It is located at 77 W Barney St, Gouverneur and it's customer support contact number is 315-535-9244. The authorized person of Edward John Noble Hospital Of Gouverneur Ny is Patricia Rogers who is Patient Accounting Supervisor of the pharmacy and his contact number is 315-287-1000. Active license number of Edward John Noble Hospital Of Gouverneur Ny is 4423000H for Rural in New York. Edward John Noble Hospital Of Gouverneur Ny accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
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Pharmacy Details:
Edward John Noble Hospital Of Gouverneur Ny type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Edward John Noble Hospital Of Gouverneur Ny |
| Type: | Rural |
| Location: | 77 W Barney St, Gouverneur,
New York, 13642-1040 |
| Phone: | 315-535-9244 |
| Fax: | 315-535-9305 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Patricia Rogers |
| Position: | Patient Accounting Supervisor |
| Contact Number: | 315-287-1000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1316940745 |
| NPI Enumeration Date: | 31 May, 2005 |
| NPI Last Update On: | 13 Aug, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edward John Noble Hospital Of Gouverneur Ny are as mentioned below.
| Specialization | License Number | State | Status | |
| Rural | 4423000H | New York | Primary | |
| Clinic Pharmacy | 013468 | New York | Secondary | |
| Pharmacy | | | Secondary | |
| Critical Access | 4423000C | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 5805784 | Other | | Ncpdp Provider Identification Number |
| 00354256 | Medicaid | New York | |
Medicare Enrollment:
Edward John Noble Hospital Of Gouverneur Ny is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7416946207 | O20040507000550 | Edward John Noble Hospital Of Gouverneur Ny Swing Bed Unit | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 77 W Barney St,
Gouverneur, New York |
| Zip: | 13642-1040 |
| Phone Number: | 315-287-1000 |
| Fax Number: | 315-535-9207 |
Patients can reach Edward John Noble Hospital Of Gouverneur Ny at
77 W Barney St, Gouverneur, New York or can
call on customer care at 315-535-9244.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.