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Organization
UPMC CHAUTAUQUA AT WCA
Active
Organization
UPMC CHAUTAUQUA AT WCA
Active
Other names
Woman's Christian Association Hospital, 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
600 GRANT STREET, US STEEL TOWER, 59TH FLOOR, C/O RENEE JOHNSON, PITTSBURGH, PA 15219-2740
(412) 623-6303
(412) 623-6369
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
171112055
NY
282N00000X
General Acute Care Hospital
Primary
0602001H
NY
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03001750
—
NY
05
—
1007520620002
—
PA
Enumeration date
10/26/2005
Last updated
11/03/2021
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