| Oak Orchard Community Health Center, Inc. | |
|
860 Main Rd Corfu NY 14036-9753 | |
| (585) 599-6446 | |
| (585) 599-3166 |
| Full Name | Oak Orchard Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 860 Main Rd, Corfu, 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. 860 Main Rd Corfu NY 14036-9753 Ph: (585) 599-6446 |
| NPI Number | 1134758410 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 04/07/2020 |
| Medicare PECOS PAC ID | 5496746927 |
|---|---|
| Medicare Enrollment ID | O20200730002801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134758410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pembroke Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 860 Main Road, Corfu, NY 14036 Phone: 585-599-6446 Fax: 585-599-3166 |