Organization
OAK ORCHARD COMMUNITY HEALTH CENTER INC
Active
Parent organization
OAK ORCHARD COMMUNITY HEALTH CENTER INC
Other names
Oak Orchard Community Health Center Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAK ORCHARD COMMUNITY HEALTH CENTER INC
Authorized official
MARY ANN PETTIBON (CEO)
(585) 637-3905
Entity
Organization
Contact information
Practice address
14014 STATE ROUTE 31, ALBION, NY 14411-9301
(585) 637-3905
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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