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Organization

PLYMOUTH AMB RURAL FIRE

Active
Other names
Plymouth Ambulance Rural Fire
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID D POHLMANN (SECRETARY/TREASURER)
(402) 656-3823
Entity
Organization

Contact information

Practice address
112 SOUTH JEFFERSON AVE., PLYMOUTH, NE 68424-0262
(402) 656-3734
Mailing address
112 SOUTH JEFFERSON AVE., PLYMOUTH, NE 68424-0262
(402) 656-3734

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS1241
NE
3416L0300X
Land Ambulance
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47073770100
NE
Enumeration date
03/19/2007
Last updated
09/02/2011
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