OAK ORCHARD COMMUNITY HEALTH CENTER INC. NPI 1558584458

NPI Information

NPI: 1558584458
Provider Name: OAK ORCHARD COMMUNITY HEALTH CENTER, INC.

Doing Business As: OAK ORCHARD HEALTH - ALBION

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
301 WEST AVE
ALBION, NY
ZIP 14411
Phone: (585) 589-5613
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OAK ORCHARD COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Albion, NY. OAK ORCHARD COMMUNITY HEALTH CENTER, INC. NPI is 1558584458. The provider is registered as an organization entity type.
The provider Is Doing Business As Oak Orchard Health - Albion.

The provider's business location address is:

301 WEST AVE
ALBION, NY
ZIP 14411
Phone: (585) 589-5613
Fax: (585) 589-0872

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 CLIA number assigned to this NPI record is 33D0171633 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 7/9/2018.

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	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	2701221R	NEW YORK	No
2	261QM1000X	Clinic/Center	Migrant Health	2701221R	NEW YORK	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	2701221R	NEW YORK	Yes

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	5065333	OTHER	NEW YORK	BSWNY GRP #

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

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