OAK ORCHARD COMMUNITY HEALTH CENTER INC. NPI 1407189582

NPI Information

NPI: 1407189582
Provider Name: OAK ORCHARD COMMUNITY HEALTH CENTER, INC.

Doing Business As: OAK ORCHARD HEALTH - LYNDONVILLE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
77 S MAIN ST
LYNDONVILLE, NY
ZIP 14098
Phone: (585) 765-2060
Get Directions

OAK ORCHARD COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Lyndonville, NY. OAK ORCHARD COMMUNITY HEALTH CENTER, INC. NPI is 1407189582. The provider is registered as an organization entity type.
The provider Is Doing Business As Oak Orchard Health - Lyndonville.

The provider's business location address is:

77 S MAIN ST
LYNDONVILLE, NY
ZIP 14098-771
Phone: (585) 765-2060
Fax: (585) 765-2067

The provider's authorized official is Mary Ann Pettibon .
The authorized official title is Ceo and has the following contact phone number (585) 637-3905.

The enumeration date for this NPI number is 9/8/2009 and was last updated on 7/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QC1500X	Clinic/Center	Community Health	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
3	261QM1000X	Clinic/Center	Migrant Health	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00355308	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »