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  5. UPMC CHAUTAUQUA AT WCA

UPMC CHAUTAUQUA AT WCA

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Company Details

Name: UPMC CHAUTAUQUA AT WCA
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 02 Jun 1885 (140 years ago)
Entity Number: 21015
ZIP code: 14702
County: Chautauqua
Place of Formation: New York
Address: ATTN: PRESIDENT, 207 FOOTE AVENUE, JAMESTOWN, NY, United States, 14702

Contact Details

Phone +1 716-664-8181

Phone +1 716-664-8397

Phone +1 716-664-8630

Phone +1 716-485-7892

Phone +1 716-782-2625

Phone +1 716-664-8641

Phone +1 716-363-0018

Phone +1 716-484-7107

Phone +1 716-664-8300

Phone +1 716-358-2015

Phone +1 716-664-7870

Phone +1 716-763-8542

Phone +1 716-487-0141

Phone +1 716-664-8611

Phone +1 716-664-8620

Fax +1 716-487-0141

Fax +1 716-664-8397

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: PRESIDENT, 207 FOOTE AVENUE, JAMESTOWN, NY, United States, 14702

Agent

Name Role Address
THE WOMAN'S CHRISTIAN ASSOCIATION OF JAMESTOWN, N.Y. Agent 207 FOOTE AVE, JAMESTOWN, NY, 14701

Unique Entity ID

Unique Entity ID:
NMTHCYSU3ZM1
CAGE Code:
5LZZ6
UEI Expiration Date:
2026-03-20

Business Information

URL:
https://www.upmc.com/locations/hospitals/chautauqua
Activation Date:
2025-03-20
Initial Registration Date:
2009-07-30

Commercial and government entity program

CAGE number:
5LZZ6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-20
CAGE Expiration:
2030-03-20
SAM Expiration:
2026-03-20

Contact Information

POC:
TERRENCE M. LEWIS
Corporate URL:
https://www.upmc.com/locations/hospitals/chautauqua

Immediate Level Owner

Vendor Certified:
2025-03-20
CAGE number:
3A9V9
Company Name:
UPMC

National Provider Identifier

NPI Number:
1568023687
Link:
View on NPI website

Authorized Person:

Name:
BRADLEY NELSON DINGER
Role:
CFO
Phone:
8148773739

Taxonomy:

Selected Taxonomy:
276400000X - Substance Use Disorder Rehabilitation Hospital Unit
Is Primary:
Yes

Contacts:

Phone:
+1 716-485-7892
Fax:
7164871802
Phone:
+1 716-487-0141

Filings

Filing Number Date Filed Type Effective Date
161201000255 2016-12-01 CERTIFICATE OF AMENDMENT 2016-12-01
C190723-2 1992-07-24 ASSUMED NAME CORP INITIAL FILING 1992-07-24
A102023-2 1973-09-19 CERTIFICATE OF AMENDMENT 1973-09-19
588Q-21 1954-05-03 CERTIFICATE OF AMENDMENT 1954-05-03
15EX-151 1951-04-17 CERTIFICATE OF AMENDMENT 1951-04-17

USAspending Awards / Financial Assistance

Date:
2024-08-26
Link:
View on USAspending
Awarding Agency Name:
Appalachian Regional Commission
Transaction Description:
WORKFORCE TRAINING
Obligated Amount:
458705.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-09-29
Link:
View on USAspending
Awarding Agency Name:
Appalachian Regional Commission
Transaction Description:
EDUCATIONAL ACHIEVEMENT/ATTAINMENT
Obligated Amount:
145342.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2022-09-20
Type:
FollowUp
Address:
207 FOOTE AVENUE PO BOX 840, JAMESTOWN, NY, 14701
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2021-11-15
Type:
Complaint
Address:
207 FOOTE AVENUE PO BOX 840, JAMESTOWN, NY, 14701
Safety Health:
Health
Scope:
Partial

Tax Exempt

Employer Identification Number (EIN) :
16-0743226
In Care Of Name:
% UPMC CORP TAX
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1960-02
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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