NPIMap

Organization Active NPI

Delaware Valley Hospital, Inc

  • Critical Access Hospital Clinic/Center
  • Walton, NY
National Provider Identifier
1144312646
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
Legal business name
DELAWARE VALLEY HOSPITAL, INC
Practice address
2 Titus PL
Walton, NY 13856-1455
Phone
(607) 865-2400
NPI assigned
Sep 29, 2006
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rolland Bojo Jr.
Title
President/Ceo
Phone
(607) 865-2162

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Critical Access Hospital Clinic/Center 261QC0050X NU Primary

Addresses

Primary practice location

2 Titus PL
Walton, NY 13856-1455

Mailing address

2 Titus PL
Walton, NY 13856-1455
Phone (607) 865-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA, PA, NM, GA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040223001307 NY Part B Supplier - Clinic/Group Practice 2860388337 Receives reassigned benefits from 93 practitioners
Practice locations: New York, NY; Johnson City, NY; Norwich, NY; Poughkeepsie, NY; Rochester, NY; Sayville, NY; Vestal, NY; Walton, NY…
O20230125001863 MA Part B Supplier - Clinic/Group Practice 2860388337 Receives reassigned benefits from 1 practitioner
Practice locations: Osterville, MA
O20240613000147 PA Part B Supplier - Clinic/Group Practice 2860388337 Receives reassigned benefits from 4 practitioners
Practice locations: Allentown, PA; Brackney, PA; Johnstown, PA; Mars, PA; Waverly TWP, PA
O20241125001742 NM Part B Supplier - Clinic/Group Practice 2860388337 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20250207000330 GA Part B Supplier - Clinic/Group Practice 2860388337 Receives reassigned benefits from 2 practitioners
Practice locations: Johns Creek, GA; Savannah, GA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

32-36 Harrison St
Johnson City, NY 13790
Phone (607) 217-1021

52 Harrison St
#1
Johnson City, NY 13790
Phone (607) 729-8845

2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197

2 Titus Pl
#13202
Walton, NY 13856
Phone (607) 865-2197

Practitioners & affiliated clinicians

Practitioners 150

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 150

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1144312646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TITUS PL",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561455",
            "telephone_number": "607-865-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TITUS PL",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561455",
            "telephone_number": "607-865-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "BOJO",
        "authorized_official_first_name": "ROLLAND",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "607-865-2162",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.