Provider Demographics
NPI:1912594086
Name:CITY OF SALEM
Entity Type:Organization
Organization Name:CITY OF SALEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:P
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-337-3053
Mailing Address - Street 1:260 S ELLSWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-3033
Mailing Address - Country:US
Mailing Address - Phone:330-337-3053
Mailing Address - Fax:330-337-3132
Practice Address - Street 1:260 S ELLSWORTH AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-3033
Practice Address - Country:US
Practice Address - Phone:303-373-0533
Practice Address - Fax:330-337-3132
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SALEM FIRE DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-23
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport