NPI:
1760747521
Provider Name:
THE CHAUTAUQUA CENTER, INC
Other Name: CHAUTAUQUA CENTER, INC.
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
CLIA Number: 33D2134935
Address:
75 E 3RD ST
DUNKIRK, NY
ZIP 14048
Phone:
(716) 363-6050
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THE CHAUTAUQUA CENTER, INC is a federally qualified health center (fqhc) clinic center in Dunkirk, NY. THE CHAUTAUQUA CENTER, INC NPI is 1760747521. The provider is registered as an organization entity type.
The provider Other Name Is Chautauqua Center, Inc..
The provider's business location address is:
75 E 3RD ST
DUNKIRK, NY
ZIP 14048
Phone: (716) 363-6050
Fax: (716) 363-6333
The provider's authorized official is Michael C Pease .
The authorized official title is Chief Executive Officer and has the following contact phone number (716) 363-6050.
The CLIA number assigned to this NPI record is 33D2134935 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/9/2012 and was last updated on 10/25/2022.