CITY OF PLYMOUTH (NPI# 1992905418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992905418 |
| Entity Type | Organization |
| Organization Name | CITY OF PLYMOUTH |
| Other Organization Name | PLYMOUTH FIRE DEPARTMENT AMBULANCE SQUAD |
| Practice Address |
111 E Main St Plymouth WI 53073-1742 |
| Mailing Address |
111 E Main St P.o. Box 294 Plymouth WI 53073-1742 |
| Practice Telephone | 9208931331 |
| Mailing Telephone | 9208931331 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-10-17 |
| Authorized Official Name | DENIS E. FELLOWS (ASSISTANT CHEIF EMS/RESCUE/OPERATIO) |
| Authorized Official Telephone | 9208931331 |
| Authorized Official Credential | EMT-IT |
| Is Organization Subpart | Y |
| Parent Organization Name | CITY OF PLYMOUTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
6001248 | WI | Transportation Services |
| Other Name | Type Code |
|---|---|
| Plymouth Fire Department Ambulance Squad | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487732400 | City of Plymouth | Ambulance | 124 N Michigan St, Plymouth, IN 46563-2133 | 2006-11-01 |
| Street Address |
111 E MAIN ST |
| City | PLYMOUTH |
| State | WI |
| Zip Code | 53073-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889914 | Patricia M. Stone | Technician | 440 Stoneybrook Lane, Plymouth, WI 53073 | 2019-09-05 |
| 1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
| 1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
| 1164888004 | Lukresse Tatiana Kouam Tchuendem | Registered Nurse | 236 N Milwaukee St, Plymoth, WI 53073 | 2016-01-07 |
| 1831447424 | Lori Ann Schuette | Registered Nurse | 406 Summit Street, Plymouth, WI 53073 | 2012-08-29 |
| 1821360967 | Kristine Marie Van Ess | Case Manager/Care Coordinator | 7135 Rocky Knoll Pkwy, Plymouth, WI 53073 | 2012-02-06 |
| 1750699708 | Shannon Diamond | Physical Therapist | 825 Walton Drive, Plymouth, WI 53073 | 2010-09-23 |
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1275780868 | Stella D. Kaas-lallensack | Occupational Therapist | W5774 Garton Rd, Plymouth, WI 53073 | 2008-08-26 |
| 1912172248 | Judith A Nelson | Registered Nurse | N7116 County Road E, Plymouth, WI 53073 | 2008-04-28 |
| Find all providers in zip 53073 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451117 | Royal Protection Services | Ambulance | 963a Us Highway 64 E, Plymouth, NC 27962-9216 | 2019-05-02 |
| 1295280923 | Multi-county Ems LLC | Ambulance | 5034 Redwood Road, Plymouth, IN 46563 | 2016-08-23 |
| 1396860680 | Plymouth Amb Rural Fire | Ambulance | 112 South Jefferson Ave., Plymouth, NE 68424-0262 | 2007-03-19 |
| 1992872022 | Village of Plymouth | Ambulance | 20 Portner St, Plymouth, OH 44865-1209 | 2006-11-30 |
| 1487732400 | City of Plymouth | Ambulance | 124 N Michigan St, Plymouth, IN 46563-2133 | 2006-11-01 |
| 1154334472 | Plymouth Town Corporation | Ambulance | 20120 N 5200 W, Plymouth, UT 84330 | 2006-08-15 |
| 1740229582 | Plymouth Ambulance Service, Inc | Ambulance | 604 South Milwaukee Street, Plymouth, WI 53073-2102 | 2006-06-06 |
| 1083692776 | Town of Plymouth | Ambulance | 42 Highland St, Plymouth, NH 03264-1236 | 2006-01-04 |
| 1942444187 | Plymouth Rural Fire Protection District No. 5 | Ambulance | 112 South Jefferson Ave., Plymouth, NE 68424-0262 | 2009-04-30 |
| 1235317611 | Roanoke Area Medical Transport Service | Ambulance | Highway 64 East, Plymouth, NC 27962 | 2008-02-07 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.