Healthcare Provider Details

I. General information

NPI: 1508119884
Provider Name (Legal Business Name): ORLEANS COMMUNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2012
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14789 RT 31
ALBION NY
14411
US

IV. Provider business mailing address

200 OHIO ST
MEDINA NY
14103-1063
US

V. Phone/Fax

Practice location:
  • Phone: 585-589-2273
  • Fax: 585-589-1876
Mailing address:
  • Phone: 585-798-8422
  • Fax: 585-798-8444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LORI CONDO
Title or Position: ASSISTANT CONTROLLER
Credential:
Phone: 585-798-8422