Organization
UPMC CHAUTAUQUA AT WCA
Active
Other names
UPMC Chautauqua WCA, Womans Christian Association Hospital
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
(716) 487-2488
Mailing address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 487-0141
(716) 487-2488
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
0602001H
NY
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
0602001H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04104376
—
NY
Enumeration date
12/18/2012
Last updated
01/27/2020
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