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BEAVER ISLAND EMS NPI 1932139201


NPI Information

NPI: 1932139201
Provider Name: BEAVER ISLAND EMS
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 23D1040138

Address:
37865 KINGS HIGHWAY
BEAVER ISLAND, MI
ZIP 49782
Phone: (231) 448-2578
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BEAVER ISLAND EMS is an ambulance in Beaver Island, MI. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). BEAVER ISLAND EMS NPI is 1932139201. The provider is registered as an organization entity type.

The provider's business location address is:

37865 KINGS HIGHWAY
BEAVER ISLAND, MI
ZIP 49782
Phone: (231) 448-2578
Fax: (231) 448-2578

The provider's authorized official is Kathleena Marie Mason .
The authorized official title is Director and has the following contact phone number (231) 330-5582.

The CLIA number assigned to this NPI record is 23D1040138 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 3/29/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulanceMICHIGANYes
23416A0800XAmbulanceAir Transport151005MICHIGANNo
33416L0300XAmbulanceLand TransportNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1181928533MEDICAIDMICHIGAN
2590A500050OTHERMICHIGANBLUE CROSS/BLUE SHIELD MI

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.