# WCA HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922363944
- **Authorized official:** MRS. STACEY A GRIMES CRNP (NURSE PRACTITIONER)
- **Authorized official phone:** (716) 487-0141

## Contact information

- **Practice address:** 207 FOOTE AVE, JAMESTOWN, NY 14701-7077
- **Practice address phone:** (716) 487-0141
- **Mailing address:** 207 FOOTE AVE, JAMESTOWN, NY 14701-7077
- **Mailing address phone:** (716) 487-0141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 33736 | NY | Yes |

## Other

- **Enumeration date:** 07/05/2012
- **Last updated:** 07/05/2012