DELAWARE VALLEY HOSPITAL, INC (NPI# 1417940719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417940719 |
| Entity Type | Organization |
| Organization Name | DELAWARE VALLEY HOSPITAL, INC |
| Practice Address |
1 Titus Pl Walton NY 13856-1457 |
| Practice Telephone | 6078652100 |
| Practice Fax Number | 6078658990 |
| Mailing Telephone | 6078652100 |
| Mailing Fax Number | 6078658990 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-22 |
| 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 |
|---|---|---|---|---|---|
| X | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units | ||
| X | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units | ||
| X | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00347571 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801132923 | Delaware Valley Hospital, Inc | Clinic/Center | 2 Titus Pl, Walton, NY 13856-1455 | 2012-12-18 |
| 1144312646 | Delaware Valley Hospital, Inc | Clinic/Center | 2 Titus Pl, Walton, NY 13856-1455 | 2006-09-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DELAWARE VALLEY HOSPITAL, INC. | 1 Titus Place, Walton, New York 13856 |
| Street Address |
1 TITUS PL |
| City | WALTON |
| State | NY |
| Zip Code | 13856-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629542238 | Nathan Moodley | Physical Therapist | 1 Titus Pl, Walton, NY 13856-1457 | 2019-01-16 |
| 1003020884 | Cathleen B Mclachlan | Nutritionist | 1 Titus Pl, Walton, NY 13856-1457 | 2007-05-10 |
| 1750446258 | Kristi Dionisio | Physical Therapist | 1 Titus Pl, Walton, NY 13856-1457 | 2006-12-26 |
| 1932215688 | Catskill Neurosciences and Radiology Assoc | Radiology | 1 Titus Pl, Walton, NY 13856-1457 | 2006-08-22 |
| 1760463483 | Robert Reynolds | Emergency Medicine | 1 Titus Pl, Walton, NY 13856-1457 | 2005-11-09 |
| 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 |
| Find all providers in zip 13856 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654494 | Brooks - Tlc Hospital System, Inc. | Rehabilitation, Substance Use Disorder Unit | 7020 Erie Road, Derby, NY 14047 | 2020-06-23 |
| 1285170514 | Mount Sinai Beth Isreal | Rehabilitation, Substance Use Disorder Unit | 429-35 Second Avenue, Ny, NY 10010-3101 | 2017-01-10 |
| 1760651855 | The Kingston Hospital | Rehabilitation, Substance Use Disorder Unit | 2 Barbarosa Ln, Kingston, NY 12401-1220 | 2008-02-22 |
| 1851452767 | Hudson Mohawk Recovery Center | Rehabilitation, Substance Use Disorder Unit | 1724 5th Ave, Troy, NY 12180-3320 | 2006-12-13 |
| 1659443000 | St. Peter's Health Care | Rehabilitation, Substance Use Disorder Unit | 636 New Loudon Rd, Latham, NY 12110-4002 | 2006-11-14 |
| 1740366806 | Kings County Hospital Center | Rehabilitation, Substance Use Disorder Unit | 21-49-46 Street, Astoria, NY 11105 | 2006-10-31 |
| 1568023687 | Upmc Chautauqua At Wca | Rehabilitation, Substance Use Disorder Unit | 51 Glasgow Ave, Jamestown, NY 14701-6440 | 2019-06-28 |
| 1811368368 | The St. Lukes Roosevelt Hospital Center | Rehabilitation, Substance Use Disorder Unit | 440 W 114th St, New York, NY 10025-1796 | 2015-10-09 |
| 1356754857 | St Lukes Hospital | Rehabilitation, Substance Use Disorder Unit | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2014-06-03 |
| 1992069967 | Brooklyn Hospital Center | Rehabilitation, Substance Use Disorder Unit | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2012-06-25 |
| Find all providers with the same taxonomy | ||||
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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.