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Organization
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Active
Organization
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Active
Other names
Lakeside Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W. FISHER (CEO)
(585) 637-3905
Entity
Organization
Contact information
Practice address
156 WEST AVE, SUITE 104, BROCKPORT, NY 14420-1229
(585) 637-6040
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
261QM1000X
Migrant Health Clinic/Center
—
NULL
Other
Enumeration date
08/24/2007
Last updated
03/14/2008
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