NPIMap

Organization Active NPI

O'Connor Hospital

  • Critical Access Hospital
  • Delhi, NY
National Provider Identifier
1891728192
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1254700C Issued in 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
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

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

Specialties & licenses 1

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

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 4

IdentifierTypeStateIssuer
Y014930OtherCHAMPUS
000243OtherEMPIRE BCBS
0031OtherEXCELLUS BLUE CROSS
00354081MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891728192. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jan 1, 1998 in NY
Enrollment address
460 Andes Rd
Delhi, NY 13753-7407

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
O'Connor HospitalCCN 331305 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

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 OfficerBoard 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 OfficerBoard Member Nov 8, 2011
James G Vielkind Individual Corporate OfficerVP 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 OfficerBoard Member Nov 8, 2011
Pam Vogt Individual Corporate Officer Jan 1, 2022
Charlotte Hill Individual Corporate OfficerBoard Member Nov 8, 2011
Bruce McKeegan Individual Corporate OfficerBoard 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 EmployeeDirector, Revenue Cycle Oct 1, 2024

Owners & managing parties with NPI records 10

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

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 213

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 213

Affiliated clinicians 185

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

View all 185

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1891728192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 ANDES RD",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "137537407",
            "telephone_number": "607-746-0326",
            "fax_number": "607-746-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ANDES RD",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "137537407",
            "telephone_number": "607-746-0326",
            "fax_number": "607-746-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'CONNOR HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-746-0326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NY",
            "license": "1254700C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "Y014930",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "000243",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CROSS",
            "identifier": "0031",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354081",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delhi, NY

Sources for this page

Verify at the official NPI Registry.