MAYVILLE AREA AMBULANCE SERVICE NPI 1497754048

NPI Information

  • NPI: 1497754048
  • Provider Name: MAYVILLE AREA AMBULANCE SERVICE
  • Classification: Emergency Medical Technician, Basic - 146N00000X
  • Entity Type: Organization
  • CLIA Number: 23D0858919
  • Address: 5802 LYNCH DR
    MAYVILLE, MI
    ZIP 48744
  • Phone: (989) 843-6136

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NPI Details

MAYVILLE AREA AMBULANCE SERVICE is an emergency medical technician basic in Mayville, MI. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. MAYVILLE AREA AMBULANCE SERVICE NPI is 1497754048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5802 LYNCH DR
MAYVILLE, MI
ZIP 48744-640
Phone: (989) 843-6136
Fax: (989) 843-5170

The provider's authorized official is Joel Welke .
The authorized official title is Chief Financial Officer and has the following contact phone number (989) 843-6136.

The CLIA number assigned to this NPI record is 23D0858919 - other with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 7/16/2005 and was last updated on 7/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146N00000XEmergency Medical Technician, Basic791004MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10G90012OTHERMICHIGANBLUE CROSS BLUE SHIELD
29002290OTHERMICHIGANHEALTHPLUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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