| Oak Orchard Community Health Center, Inc. | |
|
319 W Main St Batavia NY 14020-1347 | |
| (585) 599-6446 | |
| (585) 599-3166 |
| Full Name | Oak Orchard Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 319 W Main St, Batavia, New York |
| Authorized Official Name and Position | Pamela A Keller (CIO/DIRECTOR PATIENT ACCOUNTS) |
| Authorized Official Contact | 5856373905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Orchard Community Health Center, Inc. 300 West Ave Brockport NY 14420-1118 Ph: (585) 637-3905 | Oak Orchard Community Health Center, Inc. 319 W Main St Batavia NY 14020-1347 Ph: (585) 599-6446 |
| NPI Number | 1699304972 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 04/07/2020 |
| Medicare PECOS PAC ID | 5496746927 |
|---|---|
| Medicare Enrollment ID | O20200731001846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699304972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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