Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oak Orchard Community Health Center, Inc

Organization Community Health Clinic/Center · NPI 1407189582

Oak Orchard Community Health Center, Inc is a Community Health Clinic/Center in Lyndonville, New York. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

77 S Main St
Lyndonville, NY 14098-9771
Phone: (585) 765-2060
Fax: (585) 765-2067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Community Health Clinic/Center Taxonomy 261QC1500X
Migrant Health Clinic/Center Taxonomy 261QM1000X

Record details

NPI number1407189582
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOak Orchard Community Health Center, Inc
Authorized official Mary Ann Pettibon — Ceo · (585) 637-3905
Other names Oak Orchard Health - Lyndonville
NPI enumeratedSeptember 8, 2009
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021
Mailing address300 West Ave, Brockport, NY 14420-1118