DELAWARE VALLEY HOSPITAL, INC (NPI# 1144312646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144312646 |
| Entity Type | Organization |
| Organization Name | DELAWARE VALLEY HOSPITAL, INC |
| Practice Address |
2 Titus Pl Walton NY 13856-1455 |
| Practice Telephone | 6078652400 |
| Mailing Telephone | 6078652400 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2017-10-27 |
| Authorized Official Name | MR. PAUL SUMMERS (VP FINANCE) |
| Authorized Official Telephone | 6078652197 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940719 | Delaware Valley Hospital, Inc | Rehabilitation, Substance Use Disorder Unit | 1 Titus Pl, Walton, NY 13856-1457 | 2005-08-23 |
| 1801132923 | Delaware Valley Hospital, Inc | Clinic/Center | 2 Titus Pl, Walton, NY 13856-1455 | 2012-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DELAWARE VALLEY HOSPITAL, INC. | 1 Titus Place, Walton, New York 13856 |
| Street Address |
2 TITUS PL |
| City | WALTON |
| State | NY |
| Zip Code | 13856-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743407 | Michael J Freeman | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2005-07-12 |
| 1801132923 | Delaware Valley Hospital, Inc | Clinic/Center | 2 Titus Pl, Walton, NY 13856-1455 | 2012-12-18 |
| 1952565343 | Dove Cai | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2008-07-15 |
| 1568546182 | Valentina Davydov | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2006-10-24 |
| 1538264346 | Vadim Davydov | Family Medicine | 2 Titus Pl, Walton, NY 13856-1455 | 2006-09-14 |
| 1629051354 | Shirley Elizabeth Salton | Nurse Practitioner | 2 Titus Pl, Walton, NY 13856-1455 | 2005-11-28 |
| 1104809128 | Gary Preiser | Pediatrics | 2 Titus Pl, Walton, NY 13856-1455 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164973962 | Leeann Otto | Registered Nurse | 88 Griswold St, Walton, NY 13856 | 2016-10-18 |
| 1134518582 | Crystal Burr | Licensed Practical Nurse | 1773 Dryden Rd, Walton, NY 13856 | 2015-01-22 |
| 1043573348 | Dawn F. Northrup | Registered Nurse | 47-49 Stockton Ave., Walton, NY 13856 | 2012-06-21 |
| 1659657120 | Gladys A Frazier | Registered Nurse | 42 North Street, Walton, Ny,13856, NY 13856 | 2011-10-28 |
| 1073763918 | William S Korwan | Dentist | 83 Liberty St, Walton, NY 13856 | 2008-09-29 |
| 1609039866 | Diane Zieba-virone | Pharmacist | 215 Delaware Street, Walton, NY 13856 | 2008-07-08 |
| 1326133752 | Edward Arthur Wilson | Social Worker | Delaware County Mental Health Clinic, One Hospital Road, Walton, NY 13856 | 2006-10-03 |
| 1104930593 | Michael C Free | Physician Assistant | 1 Titus Place, Walton, NY 13856 | 2006-08-19 |
| 1568445583 | Julie Beth Vernold | Nurse Practitioner | 130 North St., Walton, NY 13856 | 2005-11-23 |
| 1184621062 | Cynthia M Cantwell | Nurse Practitioner | 2 Titus Place, Walton, NY 13856 | 2005-07-07 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.