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Organization
UPMC CHAUTAUQUA AT WCA
Active
Organization
UPMC CHAUTAUQUA AT WCA
Active
Other names
The Woman's Christian Association of Jamestown, N.Y., UPMC Chautauqua WCA
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY NELSON DINGER (CFO)
(814) 877-3739
Entity
Organization
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 487-0141
Mailing address
PO BOX 840, 207 FOOTE AVE., JAMESTOWN, NY 14702-0840
(716) 485-7892
(716) 487-1802
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
273R00000X
Psychiatric Hospital Unit
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03169151
—
NY
Enumeration date
10/18/2006
Last updated
01/27/2020
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