Provider Demographics
NPI:1720003353
Name:CITY OF BATAVIA
Entity Type:Organization
Organization Name:CITY OF BATAVIA
Other - Org Name:CITY OF BATAVIA FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-345-6331
Mailing Address - Street 1:ONE BATAVIA CITY CENTRE
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020
Mailing Address - Country:US
Mailing Address - Phone:585-345-6383
Mailing Address - Fax:585-343-9221
Practice Address - Street 1:18 EVANS ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020
Practice Address - Country:US
Practice Address - Phone:585-345-6375
Practice Address - Fax:585-343-5639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY08793341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
8190241OtherINDEPENDENT HEALTH
PREFERRED CAREOtherP107960
P0100619CBOtherBLUE CROSS OF ROCHESTER
000586038001OtherBLUE CROSS OF WESTERN NY
NY01709879Medicaid
13082BMedicare ID - Type Unspecified