# BEAVER ISLAND EMS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932139201
- **Authorized official:** KATHLEENA MARIE MASON (DIRECTOR)
- **Authorized official phone:** (231) 330-5582

## Contact information

- **Practice address:** 37865 KINGS HIGHWAY, BEAVER ISLAND, MI 49782
- **Practice address phone:** (231) 448-2578
- **Practice address fax:** (231) 448-2578
- **Mailing address:** PO BOX 457, WHEELING, IL 60090-0457
- **Mailing address phone:** (734) 224-4474
- **Mailing address fax:** (336) 791-0196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | MI | Yes |
| 3416L0300X | Land Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 07/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 181928533 | — | MI |
| 01 | — | 590A500050 | BLUE CROSS/BLUE SHIELD MI | MI |