OAK ORCHARD HEALTH - ALBION
NPI 1558584458
Clinic/Center - Federally Qualified Health Center (FQHC) in Albion, NY

NPI Status: Active since April 10, 2007

Contact Information

301 WEST AVE
ALBION, NY
ZIP 14411
Phone: (585) 589-5613
Fax: (585) 589-0872

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 33D0171633
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-26-2027

About OAK ORCHARD HEALTH - ALBION

This page provides the complete NPI Profile along with additional information for Oak Orchard Health - Albion, a primary care provider established in Albion, New York operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1558584458 assigned on April 2007. The practitioner's primary taxonomy code is 261QF0400X with license number 2701221R (NY). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Oak Orchard Health - Albion. The authorized official of this NPI record is Ms. Mary Ann Pettibon (Ceo)

NPI
1558584458
Provider Legal Name
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Other Organization Name
OAK ORCHARD HEALTH - ALBION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
301 WEST AVE ALBION, NY 14411
Location Phone
(585) 589-5613
Location Fax
(585) 589-0872
Mailing Address
300 WEST AVE BROCKPORT, NY 14420
Mailing Phone
(585) 637-3905
Mailing Fax
(585) 589-0872
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-10-2007
Last Update Date
07-09-2018
Code Navigator

A primary care provider (PCP) like Oak Orchard Health - Albion sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
2701221R
License State
NY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QC1500XAmbulatory Health Care Facilities

Clinic/Center
Community Health

2701221R (NY)
2261QM1000XAmbulatory Health Care Facilities

Clinic/Center
Migrant Health

2701221R (NY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MARY ANN PETTIBON

Authorized Official Title
CEO
Authorized Official Phone
(585) 637-3905

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5065333OTHER (01)NYBSWNY GRP #

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0171633
Facility Type
Community Clinic
Certificate Effective Date
May 28, 2021
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. DANIELLE M. RENODIN-MEAD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Oak Orchard Health - Albion to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558584458, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 1 + 0 + 8 + 8 + 4 + 1 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1558584458.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Pediatrics
301 WEST AVE
ALBION, NY 14411
Physician Assistant
301 WEST AVE
ALBION, NY 14411
Family Medicine
301 WEST AVE
ALBION, NY 14411
Family Medicine
301 WEST AVE
ALBION, NY 14411
Nurse Practitioner (Family)
301 WEST AVE
ALBION, NY 14411
Social Worker
301 WEST AVE
ALBION, NY 14411
Nurse Practitioner (Family)
301 WEST AVE
ALBION, NY 14411
Pediatrics
301 WEST AVE
ALBION, NY 14411
Social Worker (Clinical)
301 WEST AVE
ALBION, NY 14411
Social Worker
301 WEST AVE
ALBION, NY 14411
Nurse Practitioner (Family)
301 WEST AVE
ALBION, NY 14411
Licensed Practical Nurse
301 WEST AVE
ALBION, NY 14411
Counselor (Addiction (Substance Use Disorder))
301 WEST AVE
ALBION, NY 14411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558584458, enumerated as an "organization" on April 10, 2007.

The provider is located at 301 WEST AVE ALBION, NY 14411 and the phone number is (585) 589-5613.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.