Active NPI
City of Boyne
- Ambulance
- Boyne City, MI
National Provider Identifier
1316031552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 151001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183001128 | Medicaid | MI |
Other names 1
- BOYNE CITY EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050125000410 | MI | Part B Supplier - Ambulance Service Supplier | 7315997616 | Practice locations: Boyne City, MI; Boyne Falls, MI |
National Provider Directory
National Provider DirectoryLocations
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.