BEAVER ISLAND EMS (NPI# 1932139201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932139201 |
| Entity Type | Organization |
| Organization Name | BEAVER ISLAND EMS |
| Practice Address |
37865 Kings Highway Beaver Island MI 49782 |
| Mailing Address |
Po Box 2122 Riverview MI 48193-1122 |
| Practice Telephone | 2314482578 |
| Practice Fax Number | 2314482578 |
| Mailing Telephone | 7344796300 |
| Mailing Fax Number | 7344796319 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-03-05 |
| Authorized Official Name | MS. DANIELLE M DEDLOFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2314482578 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416A0800X |
Ambulance Specialization: Air Transport |
151005 | MI | Transportation Services |
| Y | 341600000X | Ambulance | MI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS/BLUE SHIELD MI | 590A500050 | 01 |
| MI | 181928533 | 05 |
| Street Address |
37865 KINGS HIGHWAY |
| City | BEAVER ISLAND |
| State | MI |
| Zip Code | 49782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780148825 | Stephanie Ann Kurburski | Social Worker | Saint Ignace Michigan Hombach Street 49781, Saint Ignace, MI 49782 | 2019-01-23 |
| 1134307275 | Wendy Sue White | Dentist | 37304 Kings Highway, Beaver Island, MI 49782-0218 | 2008-01-31 |
| 1306455282 | Courtney Deruiter | Dental Hygienist | 37304 Kings Hwy, Beaver Island, MI 49782-5134 | 2020-07-28 |
| 1952321861 | Christie A Vanlooy | Physician Assistant | 37304 Kings Hwy, Beaver Island, MI 49782-5134 | 2006-07-20 |
| 1619931920 | Susan Jane Solle | Nurse Practitioner | 37304 Kings Hwy, Beaver Island, MI 49782-5134 | 2006-04-13 |
| 1407828080 | Beaver Island Rural Health Center | Clinic/Center | 37304 Kings Hwy, Beaver Island, MI 49782-9792 | 2006-02-07 |
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| 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). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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| 1306269584 | Medi-care | Ambulance | 5741 Faircastle, Troy, MI 48098 | 2014-01-24 |
| 1952723793 | Gwb Transportation, LLC | Ambulance | 25514 W 12 Mile Rd, Ste. 303, Southfield, MI 48034 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER ISLAND |
| Zip Code | 49782 |
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| 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.