Organization Active NPI

City of Salem

Doing business as Salem EMS

  • Land Ambulance
  • Salem, WV
National Provider Identifier
1649639618
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF SALEM
Doing business as
Salem EMS
Practice address
2265 W Main St.
Salem, WV 26426-7615
Phone
(304) 370-2014
Fax
(304) 370-2019
NPI assigned
Feb 18, 2016
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Kaitlynne Danielle Booher
Title
Director
Phone
(304) 904-7368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WV Primary

Addresses

Primary practice location

2265 W Main St.
Salem, WV 26426-7615

Mailing address

836 4TH Ave
Huntington, WV 25701-1407
Phone (304) 521-1576

Other identifiers 2

IdentifierTypeStateIssuer
1649639618MedicaidWV
003486497OtherWVHIGHMARK

Other names 1

  • Salem EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160908002986 WV Part B Supplier - Ambulance Service Supplier 4789970252 Practice locations: Salem, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2303802City of Salem EMS2265 W Main Street, Salem, WV 26426Certificate of waiverApr 30, 2028

National Provider Directory

National Provider Directory

Locations

2265 W Main St
Salem, WV 26426
Phone (304) 782-2190

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1649639618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "304-521-1576",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 W MAIN ST.",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264267615",
            "telephone_number": "304-370-2014",
            "fax_number": "304-370-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SALEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "BOOHER",
        "authorized_official_first_name": "KAITLYNNE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-904-7368"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649639618",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "003486497",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SALEM EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salem EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.