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Contact Information

UPMC CHAUTAUQUA AT WCA
207 FOOTE AVE
JAMESTOWN, NY14701-7077
 Phone: 716-487-0141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Acute Care Hospital

282N00000X A0[7] Hospital-General
 

Clinic/Center

261Q00000X
 

Rehabilitation, Substance Use Disorder Unit

276400000X
Indicates primary specialty

NPI Profile & details for UPMC CHAUTAUQUA AT WCA

NPI Number 1770573222
LBN Legal business name UPMC CHAUTAUQUA AT WCA
Authorized official BRADLEY DINGER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2005
Last updated 11/03/2021 - About 5 years ago
Identifiers
NY License # 0602001H
NY License # 171112055
NY Medicaid 03001750
PA Medicaid 1007520620002
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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