PLYMOUTH AMBULANCE SERVICE INC NPI 1740229582

NPI Information

NPI: 1740229582
Provider Name: PLYMOUTH AMBULANCE SERVICE, INC

Doing Business As: PLYMOUTH AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
604 SOUTH MILWAUKEE STREET
PLYMOUTH, WI
ZIP 53073
Phone: (920) 893-0588
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PLYMOUTH AMBULANCE SERVICE, INC is a land transport ambulance in Plymouth, WI. PLYMOUTH AMBULANCE SERVICE, INC NPI is 1740229582. The provider is registered as an organization entity type.
The provider Is Doing Business As Plymouth Ambulance Service.

The provider's business location address is:

604 SOUTH MILWAUKEE STREET
PLYMOUTH, WI
ZIP 53073-102
Phone: (920) 893-0588
Fax: (920) 892-8915

The provider's authorized official is Brian Goelzer .
The authorized official title is Director Of Operations and has the following contact phone number (920) 893-0588.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 8/21/2012.

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			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	000082799	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE
2	41314700	MEDICAID	WISCONSIN
3	P00271494	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD MEDICARE

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

NPI Synchronization or Removal

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