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Organization
MACKINAC STRAITS HEALTH SYSTEM INC
Active
Organization
MACKINAC STRAITS HEALTH SYSTEM INC
Active
Other names
Mackinac Straits Hospital and Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA SPRAGUE (CREDENTIALING)
(906) 643-0451
Entity
Organization
Contact information
Practice address
1140 N STATE ST, SAINT IGNACE, MI 49781-1048
(906) 643-8585
(906) 643-0373
Mailing address
1140 N STATE ST, SAINT IGNACE, MI 49781-1013
(906) 643-8585
(906) 643-0373
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
—
NULL
163WP0000X
Pain Management Registered Nurse
—
—
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700D90255
BLUE SHIELD
MI
Enumeration date
07/24/2008
Last updated
07/13/2026
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