Lakeside Women'S Health

LBN: Oak Orchard Community Health Center, Inc.
Lakeside Women'S Health is an health care organization with primary practice located at 156 West Ave Suite 104, Brockport NY 14420-1229. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, 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 / Community Health is the primary health care specialty. Oak Orchard Community Health Center, Inc. can be contacted via phone (585) 637-6040, or through Fisher, David W. via phone (585) 637-3905.

Contact Information

Primary practice address
156 West Ave Suite 104 Brockport NY 14420-1229
Phone: (585) 637-6040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fisher, David W.
Phone: (585) 637-3905

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
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 1548453368
LBN Legal business name Oak Orchard Community Health Center, Inc.
DBA Doing business as Lakeside Women'S Health
Authorized official Fisher, David W.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2007
Last updated Mar 14th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548453368 NPPES
New York MEDICAID 00355308

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