Organization Active NPI

City of Salem

  • Land Ambulance
  • Salem, VA
National Provider Identifier
1760484919
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF SALEM
Practice address
105 S Market St
Salem, VA 24153-3808
Phone
(540) 375-3080
NPI assigned
Jun 1, 2005
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Teddy D Crowe
Title
EMS Battalion Chief
Phone
(540) 375-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

105 S Market St
Salem, VA 24153-3808

Mailing address

PO Box 21156
Roanoke, VA 24018-0117

Other identifiers 5

IdentifierTypeStateIssuer
010081700MedicaidVA
010200733MedicaidVA
P00119127OtherRAILROAD MEDICARE
010081726MedicaidVA
010081661MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812000574 VA Part B Supplier - Ambulance Service Supplier 4284606898 Practice locations: Salem, VA

National Provider Directory

National Provider Directory

Locations

105 S Market St
Salem, VA 24153
Phone (540) 375-3080

201 S Broad St
Salem, VA 24153
Phone (540) 389-9013

114 N Broad St
Salem, VA 24153

216 S Broad St
Salem, VA 24153
Phone (540) 375-3080

415 Electric Rd
Salem, VA 24153
Phone (540) 375-3097

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1760484919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21156",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S MARKET ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533808",
            "telephone_number": "540-375-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SALEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EMS BATTALION CHIEF",
        "authorized_official_telephone_number": "540-375-3080"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010081700",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010200733",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00119127",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010081726",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010081661",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.