Organization Active NPI

Plymouth Town Corporation

Doing business as Plymouth EMS

  • Land Ambulance
  • Plymouth, UT
National Provider Identifier
1154334472
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0205L Issued in UT
Legal business name
PLYMOUTH TOWN CORPORATION
Doing business as
Plymouth EMS
Practice address
20120 N 5200 W
Plymouth, UT 84330
Phone
(435) 239-7278
NPI assigned
Aug 15, 2006
Last updated
Apr 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerimy R Anderson
Title
Chief
Phone
(435) 239-7278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0205L UT Primary

Addresses

Primary practice location

20120 N 5200 W
Plymouth, UT 84330

Mailing address

PO Box 130
Plymouth, UT 84330-0130
Phone (435) 239-7278

Other identifiers 1

IdentifierTypeStateIssuer
U000073129OtherUTMEDICARE TYPE UNSPECIFIED

Other names 1

  • Plymouth EMS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1154334472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "PLYMOUTH",
            "state": "UT",
            "postal_code": "843300130",
            "telephone_number": "435-239-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20120 N 5200 W",
            "city": "PLYMOUTH",
            "state": "UT",
            "postal_code": "84330",
            "telephone_number": "435-239-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH TOWN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JERIMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "435-239-7278"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "0205L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TYPE UNSPECIFIED",
            "identifier": "U000073129",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plymouth EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.