SALEM VOLUNTEER FIRE DEPARTMENT NPI 1720128168

NPI Information

NPI: 1720128168
Provider Name: SALEM VOLUNTEER FIRE DEPARTMENT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 51D1004393

Address:
60 MILL STREET
SALEM, WV
ZIP 26426
Phone: (304) 782-3333
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SALEM VOLUNTEER FIRE DEPARTMENT is a land transport ambulance in Salem, WV. SALEM VOLUNTEER FIRE DEPARTMENT NPI is 1720128168. The provider is registered as an organization entity type.

The provider's business location address is:

60 MILL STREET
SALEM, WV
ZIP 26426-402
Phone: (304) 782-3333
Fax: (304) 782-3819

The provider's authorized official is Richard Van Todd .
The authorized official title is Chief and has the following contact phone number (304) 782-3333.

The CLIA number assigned to this NPI record is 51D1004393 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 12/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	51711	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9371741	MEDICARE PIN	WEST VIRGINIA
2	9260151	MEDICARE PIN	WEST VIRGINIA
3	70922	OTHER	WEST VIRGINIA	UNICARE
4	0144991000	MEDICAID	WEST VIRGINIA
5	1025862	OTHER	WEST VIRGINIA	BRICKSTREET-WORKERS COMP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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