BEACON AMBULANCE SERVICE, INC.; NPI #1649228123

Contact Information

BEACON AMBULANCE SERVICE, INC.

101 E CLOVERLAND DR
IRONWOOD, MI 49938-1227

Phone: 906-932-3434
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for BEACON AMBULANCE SERVICE, INC.

NPI # 1649228123

LBN Legal business name BEACON AMBULANCE SERVICE, INC.

Authorized official JOHN KUTZ - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/05/2006

Last updated 09/20/2021 - About 5 years ago

Identifiers

MI	License #	991001
WI	License #	6000577
MI	Medicaid	9512565
WI	Medicaid	41335300
MI	Other	590B70005	BLUE CROSS BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BEACON AMBULANCE SERVICE, INC.

Contact Information

Specialty

Ambulance

NPI Profile & details for BEACON AMBULANCE SERVICE, INC.

Reviews for BEACON AMBULANCE SERVICE, INC.