# PLYMOUTH TOWN CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Plymouth EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154334472
- **Authorized official:** JERIMY R ANDERSON (CHIEF)
- **Authorized official phone:** (435) 239-7278

## Contact information

- **Practice address:** 20120 N 5200 W, PLYMOUTH, UT 84330
- **Practice address phone:** (435) 239-7278
- **Mailing address:** PO BOX 130, PLYMOUTH, UT 84330-0130
- **Mailing address phone:** (435) 239-7278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0205L | UT | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 04/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | U000073129 | MEDICARE TYPE UNSPECIFIED | UT |