OAK ORCHARD COMMUNITY HEALTH CENTER, INC. (NPI# 1699304972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699304972 |
| Entity Type | Organization |
| Organization Name | OAK ORCHARD COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
319 W Main St Batavia NY 14020-1347 |
| 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 BATAVIA | 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 |
| 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 |
| 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 |
319 W MAIN ST |
| City | BATAVIA |
| State | NY |
| Zip Code | 14020-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022887 | Jordan Alexandra Francis | Nurse Practitioner | 319 W Main St, Batavia, NY 14020-1347 | 2020-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643885 | Colette Kogut | Registered Nurse | 5130 East Main St Rd, Suite 2, Batavia, NY 14020 | 2020-09-10 |
| 1770195604 | Mary M Pallister | Licensed Practical Nurse | 25 Liberty Street, Batavia, NY 14020 | 2020-08-21 |
| 1942824628 | Andrew J Burns | Registered Nurse | Ummc, 127 North St, Batavia, NY 14020 | 2020-05-29 |
| 1982241279 | Lucas Phillips | Physical Therapist | 99 Medtech Dr. Suite 104, Batavia, NY 14020 | 2019-12-05 |
| 1235776519 | Charles Foley | Physical Therapist | 99 Medtech Drive Sutie 104, Batavia, NY 14020 | 2019-12-05 |
| 1609350339 | Aimee E Landino | Physical Therapist | 99 Medtech Park, Suite 104, Batavia, NY 14020 | 2018-09-19 |
| 1225558463 | Wound Doctors of Ny Pllc | Surgery | 229 Summit Street, Suite 10, Batavia, NY 14020 | 2017-06-20 |
| 1780125468 | Sherrity L Disanto | Licensed Practical Nurse | 42 Clinton Street, Batavia, NY 14020 | 2017-03-15 |
| 1972041853 | Christine Faust | Student in an Organized Health Care Education/Training Program | 5120 East Main St. Rd., Suite 2, Batavia, NY 14020 | 2017-02-10 |
| 1326581000 | Genesee Center Operating | Skilled Nursing Facility | 278 Batavia Street, Batavia, NY 14020 | 2016-11-29 |
| Find all providers in zip 14020 | ||||
| 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.