NPIMap

Organization Active NPI

The Chautauqua Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Olean, NY
National Provider Identifier
1629869995
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
THE CHAUTAUQUA CENTER, INC
Practice address
2646 W State St
Olean, NY 14760-1866
Phone
(716) 484-4334
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael C Pease
Title
Ceo
Phone
(716) 363-6890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2646 W State St
Olean, NY 14760-1866

Mailing address

75 E 3Rd St
Dunkirk, NY 14048-2239
Phone (716) 363-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130805000454 NY Part B Supplier - Clinic/Group Practice 7214178326 Receives reassigned benefits from 72 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jamestown, NY; Olean, NY; Mayville, NY; Gowanda, NY; Forestville, NY; Elmira, NY; Dunkirk, NY
O20260105001180 NY Part A Provider - Federally Qualified Health Center (FQHC) 7214178326 Practice locations: Olean, NY

Federally qualified health center certification: CCN 571935

Legal name
THE CHAUTAUQUA CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 10, 2025
Last certification
Dec 10, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2646 W State St
Olean, NY 14760-1866

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Chautauqua Center Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

107 Institute St
Jamestown, NY 14701
Phone (716) 484-4334

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nancy York Individual Corporate DirectorBod Member and Audit Chair Jun 1, 2017
Clark Poppleton Individual Corporate DirectorBod Member Jun 1, 2013
Michael C Pease Individual Corporate OfficerCeo Feb 12, 2010
W-2 Managing EmployeeAd; Feb 12, 2010
Operational/Managerial ControlCeo Feb 12, 2010
Eloy Bautista Individual Corporate DirectorSecretary Jun 1, 2015
Laura Koepke Individual Corporate DirectorBod Member Jun 1, 2019
Ellen Luczkowiak Individual Corporate DirectorBod Chair Jun 1, 2018
Amy E. Walters Individual Corporate OfficerCfo Mar 1, 2017
W-2 Managing EmployeeAd; Mar 1, 2017
Operational/Managerial ControlCfo Mar 1, 2017
Jarrod Johnson Individual Corporate DirectorBod Treasurer Jun 1, 2014
Rita Canfora Individual Corporate DirectorBod Member Jun 1, 2015

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1629869995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E 3RD ST",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482239",
            "telephone_number": "716-363-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601866",
            "telephone_number": "716-484-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHAUTAUQUA CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "PEASE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-363-6890"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.