| 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 +1 716-664-8620
Phone +1 716-664-8611
Phone +1 716-664-8630
Phone +1 716-664-8397
Fax +1 716-664-8397
Phone +1 716-664-8181
Phone +1 716-664-7870
Phone +1 716-485-7892
Fax +1 716-487-0141
Phone +1 716-487-0141
Phone +1 716-664-8300
Phone +1 716-358-2015
Phone +1 716-763-8542
Phone +1 716-484-7107
Phone +1 716-363-0018
Phone +1 716-664-8641
Phone +1 716-782-2625
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NMTHCYSU3ZM1 | 2025-04-09 | 207 FOOTE AVE, JAMESTOWN, NY, 14701, 7077, USA | 207 FOOTE AVENUE, JAMESTOWN, NY, 14701, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| URL | https://www.upmc.com/locations/hospitals/chautauqua |
| Congressional District | 23 |
| State/Country of Incorporation | NY, USA |
| Activation Date | 2024-04-10 |
| Initial Registration Date | 2009-07-30 |
| Entity Start Date | 1885-06-02 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 622110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TERRENCE M LEWIS |
| Address | 3600 MEYRAN AVE, SUITE 9050, PITTSBURGH, PA, 15213, USA |
| Title | ALTERNATE POC |
| Name | ROBERTO REYNA CANELLA |
| Address | 3600 MEYRAN AVE, SUITE 9050, PITTSBURGH, PA, 15213, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TERRENCE M LEWIS |
| Address | 3600 MEYRAN AVE, SUITE 9050, PITTSBURGH, PA, 15213, USA |
| Title | ALTERNATE POC |
| Name | ROBERTO REYNA CANELLA |
| Address | 3600 MEYRAN AVE, SUITE 9050, PITTSBURGH, PA, 15213, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | TERRENCE M LEWIS |
| Address | 3600 MEYRAN AVE, SUITE 9050, PITTSBURGH, PA, 15213, USA |
| Title | ALTERNATE POC |
| Name | ROBERTO REYNA CANELLA |
| Address | 3600 MEYRAN AVE, SUITE 9050, PITTSBURGH, PA, 15213, USA |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5LZZ6 | Active | Non-Manufacturer | 2009-07-30 | 2024-04-10 | 2029-04-10 | 2025-04-09 | |||||||||||||||||||||
|
|||||||||||||||||||||||||||
| POC | TERRENCE M. LEWIS |
| Phone | +1 412-802-6997 |
| Address | 207 FOOTE AVE, JAMESTOWN, NY, 14701 7077, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | |
|---|---|
| Vendor Certified | 2024-04-10 |
| CAGE number | 3A9V9 |
| Company Name | UPMC |
| CAGE Last Updated | 2024-06-07 |
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | ATTN: PRESIDENT, 207 FOOTE AVENUE, JAMESTOWN, NY, United States, 14702 |
| Name | Role | Address |
|---|---|---|
| THE WOMAN'S CHRISTIAN ASSOCIATION OF JAMESTOWN, N.Y. | Agent | 207 FOOTE AVE, JAMESTOWN, NY, 14701 |
| 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 |
| 427Q-48 | 1942-05-28 | CERTIFICATE OF AMENDMENT | 1942-05-28 |
| 26P-2 | 1885-06-02 | CERTIFICATE OF INCORPORATION | 1885-06-02 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 346233448 | 0213600 | 2022-09-20 | 207 FOOTE AVENUE PO BOX 840, JAMESTOWN, NY, 14701 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Type | Inspection |
| Activity Nr | 1563785 |
| Health | Yes |
| Inspection Type | Complaint |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 2022-04-26 |
| Emphasis | N: COVID-19 |
| Case Closed | 2022-05-31 |
Related Activity
| Type | Complaint |
| Activity Nr | 1823396 |
| Health | Yes |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19101030 C01 IV B |
| Issuance Date | 2022-04-26 |
| Abatement Due Date | 2022-05-27 |
| Current Penalty | 6604.5 |
| Initial Penalty | 8806.0 |
| Final Order | 2022-05-10 |
| Nr Instances | 1 |
| Nr Exposed | 300 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(iv)(B): The review and update of the exposure control plan did not document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure: a) Throughout facility - On or about 11/15/21, the employer's Exposure Control Plan did not document consideration and implementation of appropriate commercially available and effective safer medical devices. The facility has documented numerous needlestick injuries. ABATEMENT CERTIFICATION REQUIRED |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19101030 C01 V |
| Issuance Date | 2022-04-26 |
| Abatement Due Date | 2022-05-27 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2022-05-10 |
| Nr Instances | 1 |
| Nr Exposed | 300 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, did not solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan: a) Throughout Facility - On or about 11/15/21, the employer did not solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan. ABATEMENT CERTIFICATION REQUIRED |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19101030 H05 I A |
| Issuance Date | 2022-04-26 |
| Abatement Due Date | 2022-05-11 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2022-05-10 |
| Nr Instances | 1 |
| Nr Exposed | 800 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(h)(5)(i)(A):The employer did not maintain a sharps injury log that contained at a minimum the type and brand of device involved in the incident: a) 207 Foote Ave, Jamestown NY - The employer's sharps injury log for December 2021 - March 2022 did not contain the type and brand of device involved in the incidents recorded on the log. ABATEMENT CERTIFICATION REQUIRED |
| EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 16-0743226 | Corporation | Unconditional Exemption | 207 FOOTE AVE, JAMESTOWN, NY, 14701-7077 | 1960-02 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Description | Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. |
| On Publication 78 Data List | Yes |
| Deductibility | Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions) |
Copies of Returns (990, 990-EZ, 990-PF, 990-T)
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 202212 |
| Filing Type | E |
| Return Type | 990 |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 202212 |
| Filing Type | E |
| Return Type | 990T |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 202112 |
| Filing Type | E |
| Return Type | 990 |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 202112 |
| Filing Type | E |
| Return Type | 990T |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 202012 |
| Filing Type | E |
| Return Type | 990T |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 202012 |
| Filing Type | E |
| Return Type | 990 |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 201912 |
| Filing Type | E |
| Return Type | 990 |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 201912 |
| Filing Type | P |
| Return Type | 990T |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 201812 |
| Filing Type | E |
| Return Type | 990 |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 201812 |
| Filing Type | P |
| Return Type | 990 |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 201812 |
| Filing Type | P |
| Return Type | 990T |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 201712 |
| Filing Type | E |
| Return Type | 990 |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 201712 |
| Filing Type | P |
| Return Type | 990 |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 201712 |
| Filing Type | P |
| Return Type | 990T |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 201612 |
| Filing Type | P |
| Return Type | 990 |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 201612 |
| Filing Type | P |
| Return Type | 990 |
| File | View File |
| Organization Name | UPMC CHAUTAUQUA AT WCA |
| EIN | 16-0743226 |
| Tax Period | 201612 |
| Filing Type | P |
| Return Type | 990T |
| File | View File |
| Organization Name | WOMANS CHRISTIAN ASSOCIATION HOSPITAL |
| EIN | 16-0743226 |
| Tax Period | 201512 |
| Filing Type | E |
| Return Type | 990 |
| File | View File |
Date of last update: 19 Mar 2025
Sources: New York Secretary of State
