Beaver Island EMS

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

BEAVER ISLAND EMS

Practice address

36155 E Side Dr
Beaver Island, MI 49782-5175

Phone

(231) 448-2578

NPI assigned

Mar 29, 2024

Organization subpart

Yes

Parent organization

BEAVER ISLAND EMSAs reported in NPPES

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

Authorized official

Name

Kathleena Marie Mason

Title

Director

Phone

(231) 330-5582

Specialties & licenses 1

Addresses

Other names 1

• Beaver Island EMS Air Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Beaver Island EMS

  • Ambulance
  • Beaver Island, MI
  • NPI 1932139201

  1355235888

  Same PAC ID

Tax ID family

Beaver Island EMS2 organizations share this tax ID, including this one

Part of

Beaver Island EMS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beaver Island EMS

  • Ambulance
  • Beaver Island, MI
  • NPI 1932139201
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Beaver Island EMS

  • Ambulance
  • Beaver Island, MI
  • NPI 1932139201
  NPPES parent name

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1508617333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "734-224-4474",
            "fax_number": "336-791-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36155 E SIDE DR",
            "city": "BEAVER ISLAND",
            "state": "MI",
            "postal_code": "497825175",
            "telephone_number": "231-448-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER ISLAND EMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEAVER ISLAND EMS",
        "enumeration_date": "2024-03-29",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "KATHLEENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "231-330-5582"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaver Island EMS Air",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beaver Island EMS Air",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beaver Island EMS
• Beaver Island Rural Health Center
• Courtney Deruiter, RDH
• Amanda Tiffany McGee, NP-C
• Susan Jane Solle, FNPC

• Air Ambulance in Beaver Island, MI
• Providers in Beaver Island, MI by specialty
• Air Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.