# OAK ORCHARD COMMUNITY HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeside Women's Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548453368
- **Authorized official:** MR. DAVID W. FISHER (CEO)
- **Authorized official phone:** (585) 637-3905

## Contact information

- **Practice address:** 156 WEST AVE, SUITE 104, BROCKPORT, NY 14420-1229
- **Practice address phone:** (585) 637-6040
- **Mailing address:** 300 WEST AVE, BROCKPORT, NY 14420-1118
- **Mailing address phone:** (585) 637-3905
- **Mailing address fax:** (585) 637-4990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |
| 261QM1000X | Migrant Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 03/14/2008