O'Connor Hospital

Organization Active NPI Critical Access Hospital · Delhi, NY

NPI 1891728192 · NPPES record last updated Apr 22, 2008

Key facts

NPI
1891728192
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
1254700C (NY)
Legal business name
O'CONNOR HOSPITAL
Practice address
460 Andes Rd
Delhi, NY 13753-7407
Phone
(607) 746-0326
Fax
(607) 746-0327
NPI assigned
Jul 9, 2006
Organization subpart
No

Authorized official

Name
Mr. Dan Ayers
Title
Ceo
Phone
(607) 746-0326

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 1

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 213

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 213

Affiliated clinicians 185

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 185

Medicare Care Compare: Hospital

Listed as
O'Connor Hospital CCN 331305
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Hospital certification: CCN 331305

Legal name
O'CONNOR HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 12, 2000
Last certification
Aug 17, 2023
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Jan 1, 1998 in NY
Enrollment address
460 Andes Rd
Delhi, NY 13753-7407

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Polly Dellacrosse
Individual
Corporate Officer Jan 1, 2022
Frank Silagy
Individual
Corporate Officer Jan 1, 2022
Sue E Andrews
Individual
Corporate Officer
Board Member
Jul 1, 2020
John Lynch
Individual
Corporate Officer Jan 1, 2022
Donald Harris
Individual
Corporate Officer Jan 1, 2022
Mary Imogene Bassett Hospital
Organization · Cooperstown, NY
Corporation, Non-profit
Operational/Managerial Control Jun 11, 2019 100%
James C Peters
Individual
Corporate Officer
Board Member
Nov 8, 2011
James G Vielkind
Individual
Corporate Officer
VP
Oct 1, 2024
Bassett Healthcare Network
Organization · Cooperstown, NY
Corporation, Non-profit
5% Or Greater Direct Ownership Interest Jun 11, 2019 100%
Peter J Hamilton
Individual
Corporate Officer
Board Member
Nov 8, 2011
Pam Vogt
Individual
Corporate Officer Jan 1, 2022
Charlotte Hill
Individual
Corporate Officer
Board Member
Nov 8, 2011
Bruce McKeegan
Individual
Corporate Officer
Board Member
Nov 8, 2011
Michele Defreece
Individual
Corporate Officer Jan 1, 2022
Martha J Harris
Individual
W-2 Managing Employee May 1, 2015
Joyce Barber
Individual
Corporate Officer Jan 1, 2022
Ashley Holmes
Individual
W-2 Managing Employee
Director, Revenue Cycle
Oct 1, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061104000411 NY Part a Provider - Critical Access Hospital 1557374790 Receives reassigned benefits from 212 practitioners
Practice locations: Delhi, NY

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 1254700C NY Yes

Addresses

Primary practice location

460 Andes Rd
Delhi, NY 13753-7407

Mailing address

460 Andes Rd
Delhi, NY 13753-7407
Phone (607) 746-0326

Other identifiers

IdentifierTypeStateIssuer
000243OtherEMPIRE BCBS
00354081MedicaidNY
0031OtherEXCELLUS BLUE CROSS
Y014930OtherCHAMPUS

Other providers in Delhi, NY

All providers in Delhi, NY · Critical Access Hospital in New York

Sources for this page

Verify at the official NPI Registry.