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Organization

OAK ORCHARD COMMUNITY HEALTH CENTER INC.

Active
Other names
Oak Orchard Health
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN KINTER (CEO)
(585) 637-3905
Entity
Organization

Contact information

Practice address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990

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
05
00355308
NY
01
704524
EXCELLUS BS GROUP
NY
Enumeration date
06/12/2006
Last updated
05/11/2023
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