CITY OF PLYMOUTH NPI 1992905418

NPI Information

NPI: 1992905418
Provider Name: CITY OF PLYMOUTH

Doing Business As: PLYMOUTH FIRE DEPARTMENT AMBULANCE SQUAD

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
111 E MAIN ST
PLYMOUTH, WI
ZIP 53073
Phone: (920) 893-1331
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CITY OF PLYMOUTH is a land transport ambulance in Plymouth, WI. CITY OF PLYMOUTH NPI is 1992905418. The provider is registered as an organization entity type.
The provider Is Doing Business As Plymouth Fire Department Ambulance Squad.

The provider's business location address is:

111 E MAIN ST
PLYMOUTH, WI
ZIP 53073-742
Phone: (920) 893-1331

The provider's authorized official is Rory M. Beebe .
The authorized official title is Assistant Chief Ems/safety and has the following contact phone number (920) 893-1331.

The CLIA number assigned to this NPI record is 52D0989948 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2007 and was last updated on 3/1/2022.

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	6001248	WISCONSIN	Yes

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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