UPMC CHAUTAUQUA AT WCA (NPI# 1568023687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568023687 |
| Entity Type | Organization |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| Practice Address |
51 Glasgow Ave Jamestown NY 14701-6440 |
| Mailing Address |
207 Foote Ave. Finance Department Jamestown NY 14701-7077 |
| Practice Telephone | 7164870141 |
| Practice Fax Number | 7164871802 |
| Mailing Telephone | 7164857892 |
| Mailing Fax Number | 7164871802 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Authorized Official Name | BRADLEY NELSON DINGER (CFO) |
| Authorized Official Telephone | 8148773739 |
| Is Organization Subpart | Y |
| Parent Organization Name | UPMC CHAUTAUQUA AT WCA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| UPMC Chautauqua WCA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063498889 | Upmc Chautauqua At Wca | Psychiatric Unit | 207 Foote Ave., Inpatient Mental Health Unit, Jamestown, NY 14701-7077 | 2005-12-22 |
| 1679187546 | Upmc Chautauqua At Wca | Radiology | 207 Foote Ave, Jamestown, NY 14701-7077 | 2020-09-08 |
| 1720559578 | Upmc Chautauqua At Wca | Obstetrics & Gynecology | 207 Foote Avenue, Jamestown, NY 14701-7077 | 2018-12-05 |
| 1962748095 | Upmc Chautauqua At Wca | Obstetrics & Gynecology | 207 Foote Ave, Jamestown, NY 14701-7077 | 2012-12-18 |
| 1295033298 | Upmc Chautauqua At Wca | Psychiatry & Neurology | 207 Foote Ave, Jamestown, NY 14701-7077 | 2011-03-01 |
| 1386725182 | Upmc Chautauqua At Wca | Psychiatric Unit | 207 Foote Ave, Jamestown, NY 14701-7077 | 2006-10-18 |
| 1033227111 | Upmc Chautauqua At Wca | Emergency Medicine | 207 Foote Ave, Jamestown, NY 14701-7077 | 2006-08-28 |
| 1871570614 | Upmc Chautauqua At Wca | Rehabilitation Unit | 207 Foote Ave, Jamestown, NY 14701-7077 | 2005-12-22 |
| 1770573222 | Upmc Chautauqua At Wca | Clinic/Center | 207 Foote Ave, Jamestown, NY 14701-7077 | 2005-10-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | UPMC CHAUTAUQUA AT WCA | 207 Foote Avenue, Jamestown, Ny 14702 |
| Street Address |
51 GLASGOW AVE |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701-6440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291968 | Frederick Verdonik | Psychologist | 51 Glasgow Ave, Jamestown, NY 14701-6413 | 2005-10-31 |
| 1538425947 | Khanh Thi Nha Vu | Radiology | 51 Glasgow Ave, Jamestown, NY 14701-6440 | 2012-04-10 |
| 1467572560 | Laurie A Charles | Counselor | 51 Glasgow Ave, Jamestown, NY 14701-6413 | 2007-03-30 |
| 1790866218 | Theresa Pagliuca | Radiology | 51 Glasgow Ave, Jamestown, NY 14701-6440 | 2006-10-18 |
| 1316047111 | Leslie Ann Watkins | Social Worker | 51 Glasgow Ave, Jamestown, NY 14701-6413 | 2006-09-22 |
| 1932121092 | Todd Jacobson | Preventive Medicine | 51 Glasgow Ave, Jamestown, NY 14701-6440 | 2006-07-24 |
| 1962489708 | Craig Scott | Counselor | 51 Glasgow Ave, Jamestown, NY 14701-6413 | 2005-12-22 |
| 1245221225 | Wendy Omalley | Physician Assistant | 51 Glasgow Ave, Jamestown, NY 14701-6413 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| Find all providers in zip 14701 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654494 | Brooks - Tlc Hospital System, Inc. | Rehabilitation, Substance Use Disorder Unit | 7020 Erie Road, Derby, NY 14047 | 2020-06-23 |
| 1285170514 | Mount Sinai Beth Isreal | Rehabilitation, Substance Use Disorder Unit | 429-35 Second Avenue, Ny, NY 10010-3101 | 2017-01-10 |
| 1760651855 | The Kingston Hospital | Rehabilitation, Substance Use Disorder Unit | 2 Barbarosa Ln, Kingston, NY 12401-1220 | 2008-02-22 |
| 1851452767 | Hudson Mohawk Recovery Center | Rehabilitation, Substance Use Disorder Unit | 1724 5th Ave, Troy, NY 12180-3320 | 2006-12-13 |
| 1659443000 | St. Peter's Health Care | Rehabilitation, Substance Use Disorder Unit | 636 New Loudon Rd, Latham, NY 12110-4002 | 2006-11-14 |
| 1740366806 | Kings County Hospital Center | Rehabilitation, Substance Use Disorder Unit | 21-49-46 Street, Astoria, NY 11105 | 2006-10-31 |
| 1417940719 | Delaware Valley Hospital, Inc | Rehabilitation, Substance Use Disorder Unit | 1 Titus Pl, Walton, NY 13856-1457 | 2005-08-23 |
| 1811368368 | The St. Lukes Roosevelt Hospital Center | Rehabilitation, Substance Use Disorder Unit | 440 W 114th St, New York, NY 10025-1796 | 2015-10-09 |
| 1356754857 | St Lukes Hospital | Rehabilitation, Substance Use Disorder Unit | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2014-06-03 |
| 1992069967 | Brooklyn Hospital Center | Rehabilitation, Substance Use Disorder Unit | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2012-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.