Provider Demographics
NPI:1396954129
Name:CHAUTAUQUA AREA REGIONAL TRANSIT SYSTEM
Entity type:Organization
Organization Name:CHAUTAUQUA AREA REGIONAL TRANSIT SYSTEM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUSTAFSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-665-6466
Mailing Address - Street 1:234 HOPKINS AVE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-2258
Mailing Address - Country:US
Mailing Address - Phone:716-665-6466
Mailing Address - Fax:716-661-8470
Practice Address - Street 1:234 HOPKINS AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-2258
Practice Address - Country:US
Practice Address - Phone:716-665-6466
Practice Address - Fax:716-661-8470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01026228Medicaid