Organization
OAK ORCHARD COMMUNITY HEALTH CENTER INC.
Active
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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