EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY SWING BED UNIT NPI 1215031885

NPI Information

  • NPI: 1215031885
  • Provider Name: EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY SWING BED UNIT
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • Other Name: EJ NOBLE HOSPITAL
  • Address: 77 W BARNEY ST
    GOUVERNEUR, NY
    ZIP 13642
  • Phone: (315) 287-1000

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NPI Details

EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY SWING BED UNIT is a medicare defined swing bed unit in Gouverneur, NY. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY SWING BED UNIT NPI is 1215031885. The provider is registered as an organization entity type.
The provider Other Name Is Ej Noble Hospital.

The provider's business location address is:

77 W BARNEY ST
GOUVERNEUR, NY
ZIP 13642-040
Phone: (315) 287-1000
Fax: (315) 535-9207

The provider's authorized official is Patricia Rogers .
The authorized official title is Patient Accounting Supervisor and has the following contact phone number (315) 287-1000.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed UnitYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133Z315MEDICARE OSCAR/CERTIFICATIONNEW YORK
233U177MEDICARE OSCAR/CERTIFICATIONNEW YORK
300354256MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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