Organization
OAK ORCHARD COMMUNITY HEALTH CENTER INC
Active
Parent organization
OAK ORCHARD COMMUNITY HEALTH CENTER
Other names
OAK ORCHARD HEALTH - WARSAW
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAK ORCHARD COMMUNITY HEALTH CENTER
Authorized official
ELLEN CARMESTRO (SPECIAL PROGRAM BILLING COORD)
(585) 637-3905
Entity
Organization
Contact information
Practice address
81 SOUTH MAIN ST, WARSAW, NY 14569
(585) 637-3905
(585) 637-2375
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-2375
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1000X
Migrant Health Clinic/Center
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598707812
MAIN ORGANIZATIONAL NPI
—
01
—
33-1081
PTAN
NY
Enumeration date
05/22/2013
Last updated
11/14/2022
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