Organization
VILLAGE OF PLYMOUTH
Active
Other names
Plymouth Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
DIANN JAMERSON (FISCAL OFFICER)
(419) 687-4331
Entity
Organization
Contact information
Practice address
911 MARY FATE PARK DR, PLYMOUTH, OH 44865
(419) 687-5101
(419) 687-9046
Mailing address
48 W BROADWAY ST, PLYMOUTH, OH 44865-1108
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000499286
ANTHEM
—
05
—
0233232
—
OH
01
—
590009384
RAILROAD MEDICARE
—
Enumeration date
11/30/2006
Last updated
11/26/2025
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