Provider Demographics
NPI:1891126009
Name:DELAWARE VALLEY HOSPITAL, INC.
Entity Type:Organization
Organization Name:DELAWARE VALLEY HOSPITAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DRU
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVANAGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-865-2162
Mailing Address - Street 1:121 STOCKTON AVE
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:NY
Mailing Address - Zip Code:13856-1430
Mailing Address - Country:US
Mailing Address - Phone:607-763-1835
Mailing Address - Fax:607-729-0182
Practice Address - Street 1:121 STOCKTON AVE
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:NY
Practice Address - Zip Code:13856-1430
Practice Address - Country:US
Practice Address - Phone:607-865-2781
Practice Address - Fax:607-865-2789
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELAWARE VALLEY HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-13
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy