Healthcare Provider Details

I. General information

NPI: 1891728192
Provider Name (Legal Business Name): O'CONNOR HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 ANDES RD
DELHI NY
13753-7407
US

IV. Provider business mailing address

460 ANDES RD
DELHI NY
13753-7407
US

V. Phone/Fax

Practice location:
  • Phone: 607-746-0326
  • Fax: 607-746-0327
Mailing address:
  • Phone: 607-746-0326
  • Fax: 607-746-0327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number1254700C
License Number StateNY

VIII. Authorized Official

Name: MR. DAN AYERS
Title or Position: CEO
Credential:
Phone: 607-746-0326