Provider Demographics
NPI:1144490749
Name:SALEM TOWNSHIP TRUSTEES
Entity type:Organization
Organization Name:SALEM TOWNSHIP TRUSTEES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SQUAD CHIEF/SECRETARY/TREASURER/EMT
Authorized Official - Prefix:
Authorized Official - First Name:MARCELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-585-2546
Mailing Address - Street 1:836 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1407
Mailing Address - Country:US
Mailing Address - Phone:304-521-1576
Mailing Address - Fax:304-521-1576
Practice Address - Street 1:39 MILLS - FIREHOUSE LANE
Practice Address - Street 2:
Practice Address - City:LOWER SALEM
Practice Address - State:OH
Practice Address - Zip Code:45745
Practice Address - Country:US
Practice Address - Phone:740-585-2546
Practice Address - Fax:740-585-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH341600000X, 3416L0300X
OH0206963003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3032408Medicaid
OH9381891Medicare PIN