OAK ORCHARD COMMUNITY HEALTH CENTER, INC. (NPI# 1558584458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558584458 |
| Entity Type | Organization |
| Organization Name | OAK ORCHARD COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | OAK ORCHARD HEALTH - ALBION |
| Practice Address |
301 West Ave Albion NY 14411 |
| Mailing Address |
300 West Ave Brockport NY 14420-1118 |
| Practice Telephone | 5855895613 |
| Practice Fax Number | 5855890872 |
| Mailing Telephone | 5856373905 |
| Mailing Fax Number | 5856374220 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | MS. MARY ANN PETTIBON (CEO) |
| 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 |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
2701221R | NY | Ambulatory Health Care Facilities |
| N | 261QM1000X |
Clinic/Center Specialization: Migrant Health |
2701221R | NY | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
2701221R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BSWNY GRP # | 5065333 | 01 |
| Other Name | Type Code |
|---|---|
| Oak Orchard Health - Albion | 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 |
| 1093344350 | Oak Orchard Community Health Center, Inc. | Clinic/Center | 3384 Church St, Alexander, NY 14005-9629 | 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 |
| 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 |
301 WEST AVE |
| City | ALBION |
| State | NY |
| Zip Code | 14411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437248 | Satya P Sahukar | Pediatrics | 301 West Ave, Albion, NY 14411-1522 | 2005-06-16 |
| 1164029195 | Taylor C Bates | Social Worker | 301 West Ave, Albion, NY 14411-1522 | 2020-10-02 |
| 1922595446 | Kale Cooper | Social Worker | 301 West Ave, Albion, NY 14411-1594 | 2018-04-19 |
| 1801233135 | Keith Stephen Fuleki | Family Medicine | 301 West Ave, Albion, NY 14411-1522 | 2013-05-28 |
| 1306100730 | Michelle L Okonieczny | Nurse Practitioner | 301 West Ave, Albion, NY 14411-1522 | 2012-06-29 |
| 1356673404 | Geralyn Wheeler Neumann | Physician Assistant | 301 West Ave, Albion, NY 14411-1522 | 2010-01-31 |
| 1629212741 | Alexander Paris Corbett | Family Medicine | 301 West Ave, Albion, NY 14411-1522 | 2009-04-21 |
| 1982885216 | Deanna Marie Bucci | Social Worker | 301 West Ave, Albion, NY 14411-1594 | 2007-11-15 |
| 1396768578 | Kenya P Mcintosh | Family Medicine | 301 West Ave, Albion, NY 14411-1522 | 2006-07-26 |
| 1487674941 | Karen E. Mawn | Pediatrics | 301 West Ave, Albion, NY 14411-1522 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692254 | Sarah Danielle Lefauve | Student in an Organized Health Care Education/Training Program | 14016 Ny-31, Unit 101, Albion, NY 14411 | 2020-09-02 |
| 1164065447 | Maureen Morrison | Social Worker | 7 Meadowbrook Dr, Albion, NY 14411 | 2019-10-19 |
| 1659844355 | Abigail Monroe | Student in an Organized Health Care Education/Training Program | Ny-31, Albion, NY 14411 | 2019-01-04 |
| 1871028472 | Renee Ann Biedlingmaier | Nurse Practitioner | 243 S Main St Ste 105, Albion, NY 14411 | 2017-04-21 |
| 1215469317 | Sandra Jane Stodola | Physician Assistant | 301 West Avenue, Albion, NY 14411 | 2017-03-29 |
| 1972959708 | Nys Federation of Growers & Processors' Association, Inc. | Early Intervention Provider Agency | 448 West State Street, Albion, NY 14411 | 2016-05-11 |
| 1508119884 | Orleans Community Health | Family Medicine | 14789 Rt 31, Albion, NY 14411 | 2012-10-24 |
| 1003190398 | Jamie Lynn Pritchard | Speech-Language Pathologist | 324 East Avenue, Albion, NY 14411 | 2011-10-05 |
| 1750682472 | Carrie Collins-reed | Licensed Practical Nurse | 13953 Ridge Rd W, Albion, NY 14411 | 2010-11-11 |
| 1902130503 | Alice Marie Casson | Licensed Practical Nurse | 14106 Albion - Eagle Harbor Rd, Albion, NY 14411 | 2009-09-29 |
| Find all providers in zip 14411 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1407453244 | Oak Orchard Community Health Center Inc | Clinic/Center | 14014 State Route 31, Albion, NY 14411-9301 | 2020-10-05 |
| 1770777393 | Oak Orchard Community Health Center, Inc. | Clinic/Center | 245 S Main St, Albion, NY 14411-1642 | 2007-08-28 |
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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.