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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