NPIMap

Organization Active NPI

Plymouth Amb Rural Fire

  • Land Ambulance
  • Plymouth, NE
National Provider Identifier
1396860680
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS1241 Issued in NE
Legal business name
PLYMOUTH AMB RURAL FIRE
Practice address
112 South Jefferson Ave.
Plymouth, NE 68424-0262
Phone
(402) 656-3734
NPI assigned
Mar 19, 2007
Last updated
Sep 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Mr. David D Pohlmann
Title
Secretary/Treasurer
Phone
(402) 656-3823

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NE
Land Ambulance 3416L0300X EMS1241 NE Primary

Addresses

Primary practice location

112 South Jefferson Ave.
Plymouth, NE 68424-0262

Mailing address

112 South Jefferson Ave.
Plymouth, NE 68424-0262
Phone (402) 656-3734

Other identifiers 1

IdentifierTypeStateIssuer
47073770100MedicaidNE

Other names 1

  • Plymouth Ambulance Rural Fire Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Plymouth Rural Fire Protection District No 52 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1396860680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SOUTH JEFFERSON AVE.",
            "city": "PLYMOUTH",
            "state": "NE",
            "postal_code": "684240262",
            "telephone_number": "402-656-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SOUTH JEFFERSON AVE.",
            "city": "PLYMOUTH",
            "state": "NE",
            "postal_code": "684240262",
            "telephone_number": "402-656-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH AMB RURAL FIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "POHLMANN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "402-656-3823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "EMS1241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47073770100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plymouth Ambulance Rural Fire",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plymouth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.