LAKESIDE WOMEN'S HEALTH
NPI 1548453368
Clinic/Center - Community Health in Brockport, NY

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.

Active since August 24, 2007

156 WEST AVE, SUITE 104, BROCKPORT, NY 14420(585) 637-6040 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Lakeside Women's Health NPPES

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

LAKESIDE WOMEN'S HEALTH (NPI 1548453368) is a healthcare organization registered as a community health in Brockport, New York and active in the NPI registry since August 2007. The organization lists David W. Fisher, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548453368

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameOAK ORCHARD COMMUNITY HEALTH CENTER, INC.

Location Address156 WEST AVE, SUITE 104Brockport, NY 14420-1229

Mailing Address300 West AveBrockport, NY 14420-1118 · (585) 637-3905 · Fax (585) 637-4990

Phone(585) 637-6040

Organization SubpartNo

Authorized OfficialDavid W. FisherCeo · (585) 637-3905

Enumeration DateAugust 24, 2007

Last NPPES UpdateMarch 14, 2008

✔ NPI 1548453368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

Also ListedClinic/Center · Migrant HealthTaxonomy 261QM1000X

156 WEST AVE, Brockport, NY 14420

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Other Names 1

Doing Business AsLakeside Women's Health

Other Identifiers 2

Medicaid00355308NY

Medicare OSCAR/certification331976NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP