OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
NPI 1083357719
Clinic/Center - Federally Qualified Health Center (FQHC) in Medina, NY

Active since April 20, 2022CLIA 33D0171633 · Waiver
911 W CENTER ST, MEDINA, NY 14103(585) 765-2060(585) 765-2067 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oak Orchard Community Health Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OAK ORCHARD COMMUNITY HEALTH CENTER, INC. (NPI 1083357719), doing business as Oak Orchard Health Medina, is a healthcare organization registered as a federally qualified health center (fqhc) in Medina, New York and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Joni Bauersmith, Accountant, as its authorized official.

NPPES Registry Identity

NPI1083357719
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Location Address911 W CENTER STMedina, NY 14103-1039
Mailing Address300 West AveBrockport, NY 14420-1118 · (585) 637-3905 · Fax (585) 637-4990
Fax(585) 765-2067
Organization SubpartNo
Authorized OfficialJoni BauersmithAccountant · (585) 637-3905
Enumeration DateApril 20, 2022
NPPES CertifiedApril 19, 2022
NPI 1083357719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
911 W CENTER ST, Medina, NY 14103

Other Names 1

Doing Business AsOak Orchard Health Medina

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0171633

Oak Orchard Community Health Center Inc · Brockport, NY
Active · expires Mar 26, 2027
CLIA Number33D0171633
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 28, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Danielle M. Renodin-Mead
Laboratory Phone(585) 637-5319
Laboratory LocationOak Orchard Community Health Center Inc300 West Avenue, Brockport, NY 14420
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
911 W CENTER ST
MEDINA, NY 14103
Internal Medicine
911 W CENTER ST
MEDINA, NY 14103
Specialist
911 W CENTER ST
MEDINA, NY 14103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oak Orchard Community Health Center, Inc.'s NPI number?

The NPI number for Oak Orchard Community Health Center, Inc. is 1083357719. It was assigned to this organization in the NPPES registry on April 20, 2022. The provider is doing business as Oak Orchard Health Medina.

Where is Oak Orchard Community Health Center, Inc. located?

Oak Orchard Community Health Center, Inc. is located at 911 W Center St, Medina, NY 14103. The listed phone number is (585) 765-2060.

What is Oak Orchard Community Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Oak Orchard Community Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0171633) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oak Orchard Community Health Center, Inc. was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.