Organization Active NPI

City of Boyne

  • Ambulance
  • Boyne City, MI
National Provider Identifier
1316031552
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
151001 Issued in MI
Legal business name
CITY OF BOYNE
Practice address
319 N Lake St
Boyne City, MI 49712-2109
Phone
(231) 582-9535
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Brenda Willson
Title
EMS Director
Phone
(231) 582-9535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 151001 MI Primary

Addresses

Primary practice location

319 N Lake St
Boyne City, MI 49712-2109

Mailing address

1515 Center St
Lansing, MI 48906-4412
Phone (800) 903-0107

Other identifiers 1

IdentifierTypeStateIssuer
183001128MedicaidMI

Other names 1

  • BOYNE CITY EMS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125000410 MI Part B Supplier - Ambulance Service Supplier 7315997616 Practice locations: Boyne City, MI; Boyne Falls, MI

National Provider Directory

National Provider Directory

Locations

319 N Lake St
Boyne City, MI 49712
Phone (231) 582-9535

1150 Boyne Ave
Boyne City, MI 49712
Phone (231) 582-9535

1515 Center St
Lansing, MI 48906
Phone (517) 318-3800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1316031552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CENTER ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489064412",
            "telephone_number": "800-903-0107",
            "fax_number": "517-318-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N LAKE ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497122109",
            "telephone_number": "231-582-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BOYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "WILLSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "231-582-9535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "151001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183001128",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOYNE CITY EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boyne City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.