Oak Orchard Community Health Center, Inc.
NPI 1407189582 · Federally Qualified Health Center (FQHC) · Lyndonville, NY
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oak Orchard Community Health Center, Inc. is a Federally Qualified Health Center (FQHC) organization in Lyndonville, NY (NPI 1407189582).
Provider details
- NPI number
- 1407189582
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Oak Orchard Community Health Center, Inc.
- Organization subpart
- Yes
- Authorized official
- Mary Ann Pettibon, Ceo(585) 637-3905
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Migrant Health Clinic/Center261QM1000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Oak Orchard Health - Lyndonville
Registry dates
- Enumerated
- 2009-09-08
- Last updated
- 2021-07-09
- Certified
- 2021-07-09
Frequently asked questions
- What is Oak Orchard Community Health Center, Inc.'s NPI number?
- Oak Orchard Community Health Center, Inc.'s National Provider Identifier (NPI) is 1407189582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oak Orchard Community Health Center, Inc.?
- Oak Orchard Community Health Center, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Oak Orchard Community Health Center, Inc. located?
- Oak Orchard Community Health Center, Inc.'s practice location on file with NPPES is 77 S Main St, Lyndonville, NY 14098-9771.
- What is Oak Orchard Community Health Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Oak Orchard Community Health Center, Inc. is (585) 765-2060.
- Does Oak Orchard Community Health Center, Inc. accept Medicare?
- Oak Orchard Community Health Center, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Oak Orchard Community Health Center, Inc.?
- The authorized official listed on Oak Orchard Community Health Center, Inc.'s NPPES record is Mary Ann Pettibon, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oak Orchard Community Health Center, Inc.'s NPI active?
- Yes — Oak Orchard Community Health Center, Inc.'s NPI (1407189582) is active in the NPPES registry as of the last update on 2021-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.