Mayville Area Ambulance Service

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

791004 Issued in MI

Legal business name

MAYVILLE AREA AMBULANCE SERVICE

Practice address

5802 Lynch Dr
Mayville, MI 48744-8640

Phone

(989) 843-6136

Fax

(989) 843-5170

NPI assigned

Jul 16, 2005

Last updated

Jul 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joel Welke, EMT-B

Title

Chief Financial Officer

Phone

(989) 843-6136

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1121472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753488000000",
    "number": "1497754048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181",
            "address_2": "5802 LYNCH DRIVE",
            "city": "MAYVILLE",
            "state": "MI",
            "postal_code": "487440181",
            "telephone_number": "989-842-7001",
            "fax_number": "989-843-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 LYNCH DR",
            "city": "MAYVILLE",
            "state": "MI",
            "postal_code": "487448640",
            "telephone_number": "989-843-6136",
            "fax_number": "989-843-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYVILLE AREA AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-16",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A",
        "authorized_official_last_name": "WELKE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "989-843-6136",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MI",
            "license": "791004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0G90012",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "9002290",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Lorraine Iloncai, P.T.A.
• Debra Ann Kaluk, SLP, MA-CCC
• Rhian Marcum
• Marlette Regional Hospital (Mayville Family Healthcare)
• Darla Dawn Mays, PA-C
• Kenneth Edgar Merckel, DDS
• Mi Healing Hope, LLC
• Morning Glory Home Healthcare Inc.
• Christine L Neill
• Justin Nelson

• Basic Emergency Medical Technician in Mayville, MI
• Providers in Mayville, MI by specialty
• Basic Emergency Medical Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.