Oak Orchard Community Health Center, Inc. in Brockport - Federally Qualified Health Center (fqhc)
Oak Orchard Community Health Center, Inc. - NPI 1558584458
Oak Orchard Community Health Center, Inc. is a Federally Qualified Health Center (fqhc) in Brockport, New York. Oak Orchard Community Health Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Oak Orchard Community Health Center, Inc. is 1558584458. The last update date is 2018-07-09.
Oak Orchard Community Health Center, Inc.'s current location address is 300 West Ave, Brockport, New York. You can contact this provider via phone number 5856373905 and fax number 5856374220. The mailing address for Oak Orchard Community Health Center, Inc. is 300 West Ave, Brockport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oak Orchard Community Health Center, Inc. |
|---|---|
| Address | 300 West Ave, Brockport, New York |
| Phone Number | 5856373905 |
| Fax Number | 5856374220 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Pettibon Mary Ann |
| Telephone Number | 5856373905 |
NPI Number Detail
| NPI Number | 1558584458 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2018-07-09 |
Provider Mailing Address Detail
| Address | 300 West Ave |
|---|---|
| City | Brockport |
| State | New York (NY) |
| Post Code | 144201118 |
| Phone Number | 5856373905 |
| Fax Number | 5856374220 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 2701221R |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5065333 | NY | BSWNY GRP # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Oak Orchard Community Health Center, Inc. by the Centers for Medicare & Medicaid Services?
The Oak Orchard Community Health Center, Inc. has been assigned the NPI (National Provider Identifier) 1558584458 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Oak Orchard Community Health Center, Inc.'s facilities are situated?
The facilities of Oak Orchard Community Health Center, Inc. are physically located at the following address: 300 West Ave, Brockport, NY, 144201118.
What is Oak Orchard Community Health Center, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Oak Orchard Community Health Center, Inc.'s specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
When was the Oak Orchard Community Health Center, Inc.'s 1558584458 issued?
The Oak Orchard Community Health Center, Inc.'s 1558584458 was issued on 2007-04-10.
As of what date was the information regarding Oak Orchard Community Health Center, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Oak Orchard Community Health Center, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-07-09.
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