Oak Orchard Health - Lyndonville
LBN: Oak Orchard Community Health Center, Inc.
Oak Orchard Health - Lyndonville is an health care organization with primary practice located at 77 S Main St , Lyndonville NY 14098-9771. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Migrant Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Oak Orchard Community Health Center, Inc. can be contacted via phone (585) 765-2060, or through Pettibon, Mary Ann via phone (585) 637-3905.
Contact Information
Primary practice address
77 S Main St
Lyndonville NY 14098-9771
Phone: (585) 765-2060
Fax: (585) 765-2067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Migrant Health | 261QM1000X |
Profile Details
| NPI number | 1407189582 |
|---|---|
| LBN Legal business name | Oak Orchard Community Health Center, Inc. |
| DBA Doing business as | Oak Orchard Health - Lyndonville |
| Authorized official | Pettibon, Mary Ann |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 8th, 2009 |
| Last updated | Jul 9th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407189582 | NPPES |
| New York | MEDICAID | 00355308 |
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