Healthcare Provider Details

I. General information

NPI: 1033428958
Provider Name (Legal Business Name): LEWIS COUNTY GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7785 N STATE ST FL 3
LOWVILLE NY
13367-1229
US

IV. Provider business mailing address

7785 N STATE ST
LOWVILLE NY
13367-1229
US

V. Phone/Fax

Practice location:
  • Phone: 315-376-5287
  • Fax:
Mailing address:
  • Phone: 315-376-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFERY HELLINGER
Title or Position: CEO
Credential:
Phone: 315-376-5597