Organization · Type 2 NPI

Oak Orchard Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Hornell, NY

NPI number 1548647779 Active

Practice location

7309 Seneca Rd N Ste 112
Hornell, NY 14843-9691

Call (607) 590-2424 Map

Fax (607) 590-2428

Mailing address

300 West Ave
Brockport, NY 14420-1118

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center	261QC1500X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

8 other providers at this address

Other federally qualified health center (fqhc) providers in Hornell

Oak Orchard Community Health Center, Inc.Federally Qualified Health Center (FQHC) Hornell, NY NPI 1740645324

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NPI record

NPI: 1548647779
Entity type: Organization (Type 2)
Issued: Apr 27, 2015
Last updated: Feb 21, 2019
Status: Active
Subpart: Yes of Oak Orchard Community Health Center, Inc

Other names

<unavail>
Oak Orchard Health - Hornell · doing business as
Oak Orchard Health - Hornell · doing business as

Authorized official

Ms. Mary Ann Pettibon
CEO
(595) 637-3905

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1548647779

Oak Orchard Community Health Center, Inc.'s National Provider Identifier is 1548647779, issued on Apr 27, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Hornell, NY. The record was last updated on Feb 21, 2019.