340B Drug Pricing Program Database
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CAH331312-08 DELAWARE VALLEY HOSPITAL INC. (Approved)
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Main Details
Name
DELAWARE VALLEY HOSPITAL INC.
Subdivision Name
UHS WALTON-DIABETES - DIABETES CARE
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH331312-08
Medicare Provider Number
331312
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/11/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/15/2025
Last Recertification Date
Contacts
Authorizing Official
Delaware Valley Hospital, Inc.
LuCinda M Rider, Chief Financial Officer
(607) 865-2190
Primary Contact
United Health Services Hospitals, Inc
Ryan C. Decaro, Pharmacy Business Manager
(607) 763-1838
Addresses
Street Address
2 TITUS PLACE
WALTON, NY 13856
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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