Active NPI
City of Salem
Doing business as Salem EMS
- Land Ambulance
- Salem, WV
National Provider Identifier
1649639618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649639618 | Medicaid | WV | |
| 003486497 | Other | WV | HIGHMARK |
Other names 1
- Salem EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160908002986 | WV | Part B Supplier - Ambulance Service Supplier | 4789970252 | Practice locations: Salem, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2303802 | City of Salem EMS | Certificate of waiver | Apr 30, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.