Organization
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
OAK ORCHARD COMMUNITY HEALTH CENTER, INC
Other names
Oak Orchard Health - Albion
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAK ORCHARD COMMUNITY HEALTH CENTER, INC
Authorized official
MS. MARY ANN PETTIBON (CEO)
(585) 637-3905
Entity
Organization
Contact information
Practice address
301 WEST AVE, ALBION, NY 14411
(585) 589-5613
(585) 589-0872
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4220
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
2701221R
NY
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
2701221R
NY
261QM1000X
Migrant Health Clinic/Center
2701221R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5065333
BSWNY GRP #
NY
Enumeration date
04/10/2007
Last updated
07/09/2018
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