Salem Township Daleville Emergency Medical Services Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0073 Issued in IN

Legal business name

SALEM TOWNSHIP DALEVILLE EMERGENCY MEDICAL SERVICES INC.

Practice address

14010 W Daleville Rd
Daleville, IN 47334-9139

Phone

(317) 849-6628

Fax

(317) 849-6632

NPI assigned

Nov 1, 2006

Last updated

Feb 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Haisley

Title

Director

Phone

(765) 378-5010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Salem Township/Daleville EMS Other name

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1790862571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56002",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462560002",
            "telephone_number": "317-849-6628",
            "fax_number": "317-849-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14010 W DALEVILLE RD",
            "city": "DALEVILLE",
            "state": "IN",
            "postal_code": "473349139",
            "telephone_number": "317-849-6628",
            "fax_number": "317-849-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM TOWNSHIP DALEVILLE EMERGENCY MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "HAISLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "765-378-5010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200349750A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Township/Daleville EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daisy Pier
• Emilee Pugh
• McKenzie Resler
• Jasmine Ruby
• Serina Salazar
• Salem Township Delaware Co
• Jennifer Sandberg, PTA
• Chrystal Savage
• Jayla Scaife
• Cynthia Silvers

• Ambulance in Daleville, IN
• Providers in Daleville, IN by specialty
• Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.