Lake Charlevoix Emergency Medical Services Authority

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LAKE CHARLEVOIX EMERGENCY MEDICAL SERVICES AUTHORITY

Doing business as

Lake Charlevoix EMS Authority

Practice address

9251 Major Douglas Sloan Rd
Charlevoix, MI 49720-9441

Phone

(231) 547-7172

Fax

(231) 557-3266

NPI assigned

May 10, 2021

Last updated

Sep 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. Jesse L Silva, DIRECTOR

Title

Administration

Phone

(231) 547-7172

Specialties & licenses 2

Addresses

Other names 2

• 56 EMS Other name
• Lake Charlevoix EMS Authority Doing business as

Electronic endpoints 1

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

Interoperability endpoints

• Direct secure messaging: jessesilva@chater.net

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1649854266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900747",
            "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": "9251 MAJOR DOUGLAS SLOAN RD",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497209441",
            "telephone_number": "231-547-7172",
            "fax_number": "231-557-3266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 State St",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201345",
            "country_code": "US",
            "telephone_number": "231-547-3279",
            "fax_number": "231-547-3266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE CHARLEVOIX EMERGENCY MEDICAL SERVICES AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "231-547-7172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessesilva@chater.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12491 Waller Rd",
            "city": "Charlevoix",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497201093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "56 EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Charlevoix EMS Authority",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "56 EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vicki Kemp
• Barrett Alexander Kielhorn, D.O.
• Susan Mary Killam, RN,MSN,NP
• Laura Kitzmiller, M.D.
• Brian Raymond Kwapisz, D.D.S.
• Lakeshore Chiropractic and Sports Rehabilitation PLLC (Randall Chiropractic Clinic)
• Lakeshore Sleep Medicine PLC
• Marc E Lame, M.D.
• Danielle Lamsa
• Katrina Ledy

• Ambulance in Charlevoix, MI
• Providers in Charlevoix, MI by specialty
• Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.