1720003353 NPI number — CITY OF BATAVIA

Table of content: (NPI 1720003353)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720003353 NPI number — CITY OF BATAVIA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF BATAVIA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CITY OF BATAVIA FIRE DEPARTMENT
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720003353
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ONE BATAVIA CITY CENTRE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BATAVIA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-345-6383
Provider Business Mailing Address Fax Number:
585-343-9221

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18 EVANS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATAVIA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-345-6375
Provider Business Practice Location Address Fax Number:
585-343-5639
Provider Enumeration Date:
07/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MOLINO
Authorized Official First Name:
JASON
Authorized Official Middle Name:
R
Authorized Official Title or Position:
CITY MANAGER
Authorized Official Telephone Number:
585-345-6331

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  08793 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8190241 . This is a "INDEPENDENT HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: PREFERRED CARE . This is a "P107960" identifier . This identifiers is of the category "OTHER".
  • Identifier: P0100619CB . This is a "BLUE CROSS OF ROCHESTER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000586038001 . This is a "BLUE CROSS OF WESTERN NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01709879 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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