Organization Active NPI

City of Salem

  • Land Ambulance
  • Salem, OH
National Provider Identifier
1912594086
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF SALEM
Practice address
260 S Ellsworth Ave
Salem, OH 44460-3033
Phone
(303) 373-0533
Fax
(330) 337-3132
NPI assigned
Dec 23, 2020
Last updated
May 7, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SALEM FIRE DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Mr. Scott P Mason
Title
Fire Chief
Phone
(330) 337-3053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

260 S Ellsworth Ave
Salem, OH 44460-3033

Mailing address

260 S Ellsworth Ave
Salem, OH 44460-3033
Phone (330) 337-3053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210412002008 OH Part B Supplier - Ambulance Service Supplier 8325456338 Practice locations: Salem, OH

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
36D2108584City of Salem Fire Department260 S Ellsworth Ave, Salem, OH 44460Certificate of waiverFeb 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
City of Salem2 organizations share this tax ID, including this one
Part of
City of Salem

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

260 S Ellsworth Ave
Salem, OH 44460
Phone (303) 373-0533

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": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1912594086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S ELLSWORTH AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603033",
            "telephone_number": "330-337-3053",
            "fax_number": "330-337-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S ELLSWORTH AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603033",
            "telephone_number": "303-373-0533",
            "fax_number": "330-337-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SALEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALEM FIRE DEPARTMENT",
        "enumeration_date": "2020-12-23",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "330-337-3053",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.