Healthcare Provider Details

I. General information

NPI: 1437188711
Provider Name (Legal Business Name): BOYNE VALLEY TOWNSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2286 RAILROAD ST.
BOYNE FALLS MI
49713
US

IV. Provider business mailing address

2489 RAILROAD ST
BOYNE FALLS MI
49713-9671
US

V. Phone/Fax

Practice location:
  • Phone: 231-549-2000
  • Fax: 231-549-2099
Mailing address:
  • Phone: 231-549-3130
  • Fax: 231-549-3130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateMI

VIII. Authorized Official

Name: LEONARD ZAKRZEWSKI
Title or Position: TOWNSHIP SUPERVISOR
Credential:
Phone: 231-549-3130