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Organization
BEAVER ISLAND EMS
Active
Organization
BEAVER ISLAND EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEENA MARIE MASON (DIRECTOR)
(231) 330-5582
Entity
Organization
Contact information
Practice address
37865 KINGS HIGHWAY, BEAVER ISLAND, MI 49782
(231) 448-2578
(231) 448-2578
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(734) 224-4474
(336) 791-0196
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
MI
3416L0300X
Land Ambulance
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181928533
—
MI
01
—
590A500050
BLUE CROSS/BLUE SHIELD MI
MI
Enumeration date
07/03/2006
Last updated
07/18/2025
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