Organization
CITY OF PLYMOUTH
Active
Other names
Plymouth Community Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN M GORSKI (CLERK TREASURER)
(574) 936-2124
Entity
Organization
Contact information
Practice address
111 N CENTER ST, PLYMOUTH, IN 46563-2101
(574) 936-8291
Mailing address
124 N MICHIGAN ST, P O BOX 492, PLYMOUTH, IN 46563-2133
(574) 936-2124
(574) 936-4371
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0169
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100282150
—
IN
Enumeration date
11/01/2006
Last updated
07/17/2024
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