| Organization Name: | OAK ORCHARD COMMUNITY HEALTH CENTER |
| NPI Number: | 1407189582 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID W FISHER (CEO) |
| Mailing Address: | 77 S Main St Lyndonville |
| State: | NY US |
| Postal Code: | 140989771 |
| Phone Number: | 5857652060 |
| Fax Number: | 5857652067 |
| NPI Enumeration Date: | 09/08/2009 |
| NPI Last Update Date: | 09/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Migrant Health |
| Taxonomy Definition: | |