MAYVILLE AREA AMBULANCE SERVICE (NPI# 1497754048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497754048 |
| Entity Type | Organization |
| Organization Name | MAYVILLE AREA AMBULANCE SERVICE |
| Practice Address |
5802 Lynch Dr Mayville MI 48744-8640 |
| Mailing Address |
Po Box 181 5802 Lynch Drive Mayville MI 48744-0181 |
| Practice Telephone | 9898436136 |
| Practice Fax Number | 9898435170 |
| Mailing Telephone | 9898436136 |
| Mailing Fax Number | 9898435170 |
| Enumeration Date | 2005-07-16 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | MR. JOEL WELKE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9898436136 |
| Authorized Official Credential | EMT-B |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 791004 | MI | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 0G90012 | 01 |
| MI | HEALTHPLUS | 9002290 | 01 |
| Street Address |
5802 LYNCH DR |
| City | MAYVILLE |
| State | MI |
| Zip Code | 48744-8640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033633995 | Holly A Colosky | Behavior Technician | 6148 Lincoln St., Po Box 675, Mayville, MI 48744 | 2017-08-01 |
| 1962514240 | Kenneth Edgar Merckel | Dentist | 6093 Fulton St, Mayville, MI 48744 | 2006-08-31 |
| 1932214350 | Darla Dawn Mays | Physician Assistant | 2180 E Ohmer Rd, Mayville, MI 48744 | 2006-08-19 |
| 1104208057 | Tamera Huntley | Counselor | 107 E Main St, Mayville, MI 48744 | 2015-06-26 |
| 1710052709 | Wingerts Inc | Pharmacy | 315 E Main St, Mayville, MI 48744 | 2006-11-22 |
| 1316028400 | Maria Livieratos | Family Medicine | 2180 E Ohmer Rd, Mayville, MI 48744 | 2006-10-17 |
| 1902956329 | Tartan Health Care Corp. | Skilled Nursing Facility | 521 W Ohmer Rd, Mayville, MI 48744-8612 | 2007-01-10 |
| 1588060495 | Kristen Lee Thomas | Occupational Therapist | 521 W Ohmer Rd, Mayville, MI 48744-8612 | 2014-11-05 |
| 1205458171 | Deborah Huber | Pharmacist | 315 E Main St, Mayville, MI 48744-9105 | 2020-05-13 |
| 1821506353 | Rhian Marcum | Behavioral Analyst | 690 E Murphy Lake Rd, Mayville, MI 48744-9322 | 2018-01-18 |
| Find all providers in zip 48744 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938001 | Thomas Merkle | Emergency Medical Technician, Basic | 1036 Bowen Ln, Quincy, MI 49082-8407 | 2020-06-25 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1780225169 | Clarissa Marie Baraiac | Emergency Medical Technician, Basic | 26366 Wolverine St, Madison Heights, MI 48071-3714 | 2019-10-07 |
| 1265092589 | Mari I Debolt | Emergency Medical Technician, Basic | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-18 |
| 1265919120 | Samuel Lee Buckley IIi | Emergency Medical Technician, Basic | 1200 N Telegraph Rd # Bdlg32e, Pontiac, MI 48341-1032 | 2018-07-24 |
| 1144737594 | Taylor Hoekwater | Emergency Medical Technician, Basic | Central Michigan University Health Professions Ofc 1205, Mount Pleasant, MI 48859-0001 | 2018-01-08 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1639543374 | Tyler Alley | Emergency Medical Technician, Basic | 4267 Monroe St, Ecorse, MI 48229-1519 | 2015-11-18 |
| 1497122881 | Kyle Andre St. Peter | Emergency Medical Technician, Basic | 41641 Utica Rd, Sterling Heights, MI 48313-3264 | 2015-09-01 |
| 1205242294 | Pennfield Twp Fire Dept | Emergency Medical Technician, Basic | 20260 Capital Ave Ne, Battle Creek, MI 49017-9727 | 2014-07-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAYVILLE AREA AMBULANCE SERVICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.