BEACON AMBULANCE SERVICE, INC.
NPI 1649228123
Ambulance in Ironwood, MI

Active since May 05, 2006CLIA 23D1059577 · Waiver
101 E CLOVERLAND DR, IRONWOOD, MI 49938(906) 932-3434 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Beacon Ambulance Service, Inc. NPPES

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

BEACON AMBULANCE SERVICE, INC. (NPI 1649228123) is a healthcare organization registered as an ambulance in Ironwood, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists John Kutz, Owner, as its authorized official.

NPPES Registry Identity

NPI1649228123
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameBEACON AMBULANCE SERVICE, INC.
Location Address101 E CLOVERLAND DRIronwood, MI 49938-1227
Mailing Address300 Villa DrHurley, WI 54534-1523 · (715) 561-3200
Organization SubpartNo
Authorized OfficialJohn KutzOwner · (715) 561-3200
Enumeration DateMay 5, 2006
Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
NPI 1649228123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Licenses Licensed in MI · 991001 Licensed in WI · 6000577
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
101 E CLOVERLAND DR, Ironwood, MI 49938

Other Identifiers 3

Medicaid9512565MI
Medicaid41335300WI
Other590B70005MI · Blue Cross Blue Shield

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 23D1059577

Beacon Ambulance Service Inc · Ironwood, MI
Active · expires Oct 2, 2026
CLIA Number23D1059577
Laboratory TypeAmbulance
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorRandy G. Forstrom
Laboratory Phone(906) 932-4140
Laboratory LocationBeacon Ambulance Service Inc101 E Cloverland Drive, Ironwood, MI 49938
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
14,179 services310 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.
330 services222 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
91 services85 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.
90 services72 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
11 services11 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 Beacon Ambulance Service, Inc.'s NPI number?

The NPI number for Beacon Ambulance Service, Inc. is 1649228123. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Beacon Ambulance Service, Inc. located?

Beacon Ambulance Service, Inc. is located at 101 E Cloverland Dr, Ironwood, MI 49938. The listed phone number is (906) 932-3434.

What is Beacon Ambulance Service, Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Beacon Ambulance Service, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1059577) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beacon Ambulance Service, Inc. was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.