# CITY OF PLYMOUTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITY OF PLYMOUTH
- **Other names:** Plymouth Fire Department Ambulance Squad
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992905418
- **Legal business name:** CITY OF PLYMOUTH
- **Authorized official:** JASON MCCOY (ASSISTANT CHIEF)
- **Authorized official phone:** (920) 980-3795

## Contact information

- **Practice address:** 111 E MAIN ST, PLYMOUTH, WI 53073-1742
- **Practice address phone:** (920) 893-1331
- **Mailing address:** PO BOX 294, PLYMOUTH, WI 53073-0294
- **Mailing address phone:** (920) 980-3795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6001248 | WI | Yes |

## Other

- **Enumeration date:** 07/23/2007
- **Last updated:** 06/09/2026