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SOUTH HAVEN AREA EMERGENCY SERVICES AUTHORITY
NPI 1023058542
Ambulance - Land Transport in South Haven, MI

Active since June 07, 2006CLIA 23D1048062 · Waiver
90 BLUE STAR HWY, SOUTH HAVEN, MI 49090(269) 637-5151(269) 637-9346 Get Directions Write a Review

NPPES record last updated: October 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Haven Area Emergency Services Authority NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH HAVEN AREA EMERGENCY SERVICES AUTHORITY (NPI 1023058542) is a healthcare organization registered as a land transport in South Haven, Michigan and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Brandon Hinz, Executive Director/fire Chief, as its authorized official.

NPPES Registry Identity

NPI1023058542
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSOUTH HAVEN AREA EMERGENCY SERVICES AUTHORITY
Location Address90 BLUE STAR HWYSouth Haven, MI 49090-2411
Mailing Address90 Blue Star HwySouth Haven, MI 49090-2411 · (269) 637-5151 · Fax (269) 637-9346
Phone(269) 637-5151
Fax(269) 637-9346
Organization SubpartNo
Authorized OfficialBrandon HinzExecutive Director/fire Chief · (269) 639-1496
Enumeration DateJune 7, 2006
Last NPPES UpdateOctober 26, 2024
NPPES CertifiedOctober 26, 2024
✔ NPI 1023058542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in MI · 801006
90 BLUE STAR HWY, South Haven, MI 49090
Open in Google Maps ↗

Other Identifiers 2

Medicaid184434063MI
Other590012741MI · Rail Road Medicare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1048062

South Haven Area Emergency Services · South Haven, MI
Active · expires Nov 20, 2027
CLIA Number23D1048062
Laboratory TypeAmbulance
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorRandy Vanwynen
Laboratory Phone(269) 637-1813
Laboratory LocationSouth Haven Area Emergency Services90 Bluestar Hwy, South Haven, MI 49090
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
2,036 services187 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
200 services147 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
88 services65 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Haven Area Emergency Services Authority's NPI number?

The NPI number for South Haven Area Emergency Services Authority is 1023058542. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is South Haven Area Emergency Services Authority located?

South Haven Area Emergency Services Authority is located at 90 Blue Star Hwy, South Haven, MI 49090. The listed phone number is (269) 637-5151.

What is South Haven Area Emergency Services Authority's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does South Haven Area Emergency Services Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1048062) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Haven Area Emergency Services Authority was last updated on October 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.