Provider Demographics
NPI:1154307650
Name:CITY OF LAWRENCE
Entity Type:Organization
Organization Name:CITY OF LAWRENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DINO
Authorized Official - Middle Name:
Authorized Official - Last Name:BATALIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-775-6753
Mailing Address - Street 1:9001 E 59TH ST STE 302
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46216-1036
Mailing Address - Country:US
Mailing Address - Phone:317-549-4825
Mailing Address - Fax:317-549-8671
Practice Address - Street 1:9001 E 59TH ST STE 302
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46216-1036
Practice Address - Country:US
Practice Address - Phone:317-549-4825
Practice Address - Fax:317-549-8671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-16
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0196341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100289300AMedicaid
IN000000186313OtherBLUE CROSS BLUE SHIELD
IN590002786OtherRAILROAD MEDICARE
IN986770Medicare ID - Type UnspecifiedMEDICARE