OrganizationActive
Gouverneur Hospital
NPI 1447973565 · Rural Health Clinic/Center · Dekalb Jct, NY
Provider details
- NPI number
- 1447973565
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Cicchinelli, Vp of Finance(315) 261-5102
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2924 County Route 17
Dekalb Jct, NY 13630-3136
Phone: (315) 347-3830
Approximate (ZIP-level) locationGet directions
Mailing address
50 Leroy St
Potsdam, NY 13676-1786
Registry dates
- Enumerated
- 2022-09-23
- Last updated
- 2022-09-23
- Certified
- 2022-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.