OAK ORCHARD COMMUNITY HEALTH CENTER, INC. (NPI# 1093344350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093344350 |
| Entity Type | Organization |
| Organization Name | OAK ORCHARD COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | OAK ORCHARD HEALTH ALEXANDER |
| Practice Address |
3384 Church St Alexander NY 14005-9629 |
| Mailing Address |
300 West Ave Brockport NY 14420-1118 |
| Practice Telephone | 5855996446 |
| Practice Fax Number | 5855993166 |
| Mailing Telephone | 5856373905 |
| Mailing Fax Number | 5856374990 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | PAMELA A KELLER (CIO/DIRECTOR PATIENT ACCOUNTS) |
| Authorized Official Telephone | 5856373905 |
| Is Organization Subpart | Y |
| Parent Organization Name | OAK ORCHARD COMMUNITY HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OAK ORCHARD HEALTH ALEXANDER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821633165 | Oak Orchard Community Health Center, Inc. | Social Worker | 317 West Ave, Albion, NY 14411-1522 | 2019-11-11 |
| 1548647779 | Oak Orchard Community Health Center, Inc. | Clinic/Center | 7309 Seneca Rd N Ste 112, Hornell, NY 14843-9691 | 2015-04-27 |
| 1699304972 | Oak Orchard Community Health Center, Inc. | Clinic/Center | 319 W Main St, Batavia, NY 14020-1347 | 2020-04-07 |
| 1134758410 | Oak Orchard Community Health Center, Inc. | Clinic/Center | 860 Main Rd, Corfu, NY 14036-9753 | 2020-04-07 |
| 1740645324 | Oak Orchard Community Health Center, Inc. | Clinic/Center | 7309 Seneca Rd N Ste 112, Hornell, NY 14843-9691 | 2015-12-23 |
| 1407189582 | Oak Orchard Community Health Center, Inc. | Clinic/Center | 77 S Main St, Lyndonville, NY 14098-9771 | 2009-09-08 |
| 1558556738 | Oak Orchard Community Health Center, Inc. | Eyewear Supplier (Equipment, not the service) | 300 West Ave, Brockport, NY 14420-1118 | 2007-09-11 |
| 1770777393 | Oak Orchard Community Health Center, Inc. | Clinic/Center | 245 S Main St, Albion, NY 14411-1642 | 2007-08-28 |
| 1548453368 | Oak Orchard Community Health Center, Inc. | Obstetrics & Gynecology | 156 West Ave, Suite 104, Brockport, NY 14420-1229 | 2007-08-24 |
| 1558584458 | Oak Orchard Community Health Center, Inc. | Clinic/Center | 301 West Ave, Albion, NY 14411 | 2007-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OAK ORCHARD COMMUNITY HEALTH CENTER, INC. | 300 West Ave, Brockport, NY 14420-1118 |
| Street Address |
3384 CHURCH ST |
| City | ALEXANDER |
| State | NY |
| Zip Code | 14005-9629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376066332 | Renee Marie Robbins-yonkin | Nurse Practitioner | 3384 Church St, Alexander, NY 14005-9629 | 2017-07-21 |
| 1205436417 | Jennifer Lynn Alejandro | Nurse Practitioner | 3384 Church St, Alexander, NY 14005-9629 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699030064 | Maryjane Laird | Specialist | 1 Bartz Dr, Alexander, NY 14005-9606 | 2012-07-11 |
| 1922258508 | Molly M Meek-grimes | Speech-Language Pathologist | 10532 Main St, Alexander, NY 14005-9624 | 2008-09-19 |
| 1619128097 | Staci M Ruck | Registered Nurse | 3270 Buffalo St, Alexander, NY 14005-9701 | 2008-10-03 |
| 1508918756 | Alexander Csd | Local Education Agency (LEA) | 3314 Buffalo St, Alexander, NY 14005-9701 | 2007-01-17 |
| 1417206426 | Monica Dunlevy Lang | Speech-Language Pathologist | 3314 Buffalo St, Alexander, NY 14005-9701 | 2012-09-05 |
| 1447521273 | Bonny A Burgess | Registered Nurse | 3314 Buffalo St, Alexander, NY 14005-9701 | 2012-01-25 |
| 1164791067 | Julie Ann George | Registered Nurse | 3314 Buffalo St, Alexander, NY 14005-9701 | 2011-12-21 |
| 1588702716 | Alexander Central School | Local Education Agency (LEA) | 3314 Buffalo St, Alexander, NY 14005-9701 | 2007-02-01 |
| 1699911552 | Jill Ann Hinz | Registered Nurse | 3330 Broadway Rd, Alexander, NY 14005-9702 | 2008-12-24 |
| 1457504169 | Sandra Lynn Devoe | Speech-Language Pathologist | 10725 Molasses Hill Rd, Alexander, NY 14005-9757 | 2008-10-24 |
| Find all providers in zip 14005 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.