Healthcare Provider Details

I. General information

NPI: 1760484919
Provider Name (Legal Business Name): CITY OF SALEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S MARKET ST
SALEM VA
24153-3808
US

IV. Provider business mailing address

PO BOX 21156
ROANOKE VA
24018-0117
US

V. Phone/Fax

Practice location:
  • Phone: 540-375-3080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: TEDDY D CROWE
Title or Position: EMS BATTALION CHIEF
Credential:
Phone: 540-375-3080