Salem City Corporation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2517L Issued in UT

Legal business name

SALEM CITY CORPORATION

Doing business as

Salem Emer Med Assn

Practice address

30 W 100 S
Salem, UT 84653

Phone

(801) 423-2770

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Jeff Nelson

Title

Cheif

Phone

(801) 423-2770

Specialties & licenses 1

Addresses

Other names 1

• Salem Emer Med Assn Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1104972827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846530901",
            "telephone_number": "801-295-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W 100 S",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "84653",
            "telephone_number": "801-423-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM CITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CHEIF",
        "authorized_official_telephone_number": "801-423-2770"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "2517L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Emer Med Assn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stanley Dwayne Roberts, MD
• Aubrie Rebecca Robinette, ATC
• Jerianne Robinson, BCBA
• Matthew Rumsey
• Katie Grace Ruri, AGPCNP
• Salem Hills Family Eyecare LLC
• Salem Hills Pharmacy Inc (Salem Hills Pharmacy)
• Madison Salimbene
• Tessa Nicole Salisbury, PH.D.
• Nathan Sanborn, PA

• Land Ambulance in Salem, UT
• Providers in Salem, UT by specialty
• Land Ambulance in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.