OAK ORCHARD COMMUNITY HEALTH CENTER INC (NPI# 1417393018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417393018 |
| Entity Type | Organization |
| Organization Name | OAK ORCHARD COMMUNITY HEALTH CENTER INC |
| Other Organization Name | OAK ORCHARD HEALTH - WARSAW |
| Practice Address |
81 South Main St Warsaw NY 14569 |
| Mailing Address |
300 West Ave Brockport NY 14420-1118 |
| Practice Telephone | 5856373905 |
| Practice Fax Number | 5856372375 |
| Mailing Telephone | 5856373905 |
| Mailing Fax Number | 5856372375 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2014-04-22 |
| Authorized Official Name | MR. JAMES J CUMMINGS (CEO) |
| Authorized Official Telephone | 5856373905 |
| Is Organization Subpart | Y |
| Parent Organization Name | OAK ORCHARD COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QM1000X |
Clinic/Center Specialization: Migrant Health |
NY | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAIN ORGANIZATIONAL NPI | 1598707812 | 01 | |
| NY | PTAN | 33-1081 | 01 |
| Other Name | Type Code |
|---|---|
| OAK ORCHARD HEALTH - WARSAW | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453244 | Oak Orchard Community Health Center Inc | Clinic/Center | 14014 State Route 31, Albion, NY 14411-9301 | 2020-10-05 |
| Street Address |
81 SOUTH MAIN ST |
| City | WARSAW |
| State | NY |
| Zip Code | 14569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331300 | Sadye Gonnella | Nurse Practitioner | 34 Dunkin Street, Warsaw, NY 14569 | 2020-03-17 |
| 1215576806 | Danielle Lynn Kwiecien | Physical Therapist | 400 N Main Warsaw Ny 14569, Warsaw, NY 14569 | 2019-12-30 |
| 1295975415 | Brandie Rajk-winter | Counselor | 433 North Main St., Warsaw, NY 14569 | 2009-02-27 |
| 1104048511 | Anthony Emmanuel Trigenis | Internal Medicine | 2 Karaoli St, Anixis, ATTIKIS 14569 | 2007-05-03 |
| 1477680908 | Nancy L. Mcnair | Occupational Therapy Assistant | 400 N. Main Street, Warsaw, NY 14569 | 2007-02-28 |
| 1821173360 | Carolyn Kate Schofield | Speech-Language Pathologist | 400 North Main St, Wyoming County Community Hospital, Warsaw, NY 14569 | 2006-10-25 |
| 1871673665 | Pamela Zola | Speech-Language Pathologist | Wyoming County Community Hospital, 400 North Main Street, Warsaw, NY 14569 | 2006-10-16 |
| 1538101696 | Dharam Paul Singla | Internal Medicine | 38 Duncan St, Suite 3, Warsaw, NY 14569 | 2006-06-12 |
| 1154386142 | Rajendrakumar M Patel | Internal Medicine | 5 Salina St, Warsaw, NY 14569 | 2006-04-20 |
| 1104881770 | Warsaw Ob Gyn PC | Obstetrics & Gynecology | 408 North Main St, Warsaw, NY 14569 | 2006-04-18 |
| Find all providers in zip 14569 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1346365822 | Goshen Medical Center Incorporated | Clinic/Center | 603 E College St, Warsaw, NC 28398-2104 | 2007-03-21 |
| 1457477820 | Goshen Medical Center Incorporated | Clinic/Center | 113 S Pine St, Warsaw, NC 28398-1924 | 2007-03-21 |
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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.