Healthcare Provider Details

I. General information

NPI: 1437280955
Provider Name (Legal Business Name): ORLEANS COMMUNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11020 WEST CENTER STREET EXT.
MEDINA NY
14103
US

IV. Provider business mailing address

200 OHIO STREET
MEDINA NY
14103
US

V. Phone/Fax

Practice location:
  • Phone: 585-798-2000
  • Fax: 585-798-8107
Mailing address:
  • Phone: 585-798-2000
  • Fax: 585-798-8107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number3622000H
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: MARC SHURTZ
Title or Position: CEO
Credential:
Phone: 585-798-8101