Organization
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Other names
Oak Orchard Hornell Medical
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
7309 SENECA RD N STE 112, HORNELL, NY 14843-9691
(607) 324-0314
(607) 324-0318
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
2701221R
NY
Other
Enumeration date
12/23/2015
Last updated
02/21/2019
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