Provider Demographics
NPI:1437188711
Name:BOYNE VALLEY TOWNSHIP
Entity Type:Organization
Organization Name:BOYNE VALLEY TOWNSHIP
Other - Org Name:BOYNE VALLEY FIRE & RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TOWNSHIP SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKRZEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-549-3130
Mailing Address - Street 1:2489 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:BOYNE FALLS
Mailing Address - State:MI
Mailing Address - Zip Code:49713-9671
Mailing Address - Country:US
Mailing Address - Phone:231-549-3130
Mailing Address - Fax:231-549-3130
Practice Address - Street 1:2286 RAILROAD ST.
Practice Address - Street 2:
Practice Address - City:BOYNE FALLS
Practice Address - State:MI
Practice Address - Zip Code:49713
Practice Address - Country:US
Practice Address - Phone:231-549-2000
Practice Address - Fax:231-549-2099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP18330Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER