Beaver Island EMS

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

BEAVER ISLAND EMS

Practice address

37865 Kings Highway
Beaver Island, MI 49782

Phone

(231) 448-2578

Fax

(231) 448-2578

NPI assigned

Jul 3, 2006

Organization subpart

No

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 2

Addresses

Other identifiers 2

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

  • Air Ambulance
  • Beaver Island, MI
  • NPI 1508617333

  1355235888

  Same PAC ID

Tax ID family

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

Other organizations with this tax ID 1

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

• Beaver Island EMS

  • Air Ambulance
  • Beaver Island, MI
  • NPI 1508617333
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Beaver Island EMS

  • Air Ambulance
  • Beaver Island, MI
  • NPI 1508617333
  NPPES parent name

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1932139201",
    "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": "37865 KINGS HIGHWAY",
            "city": "BEAVER ISLAND",
            "state": "MI",
            "postal_code": "49782",
            "telephone_number": "231-448-2578",
            "fax_number": "231-448-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER ISLAND EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "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": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181928533",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD MI",
            "identifier": "590A500050",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Ambulance in Beaver Island, MI
• Providers in Beaver Island, MI by specialty
• 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.