# PLYMOUTH AMBULANCE SERVICE, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1740229582
- **Authorized official:** BRIAN GOELZER EMT-B (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (920) 893-0588

## Contact information

- **Practice address:** 604 SOUTH MILWAUKEE STREET, PLYMOUTH, WI 53073-2102
- **Practice address phone:** (920) 893-0588
- **Practice address fax:** (920) 892-8915
- **Mailing address:** 604 SOUTH MILWAUKEE STREET, PLYMOUTH, WI 53073-2102
- **Mailing address phone:** (920) 893-0588
- **Mailing address fax:** (920) 892-8915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 08/21/2012