Healthcare Provider Details

I. General information

NPI: 1043341563
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: 10/14/2021
Certification Date: 10/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 OHIO STREET
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 TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

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