# MACKINAC STRAITS HEALTH SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mackinac Straits Hospital and Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659536035
- **Authorized official:** SONJA SPRAGUE (CREDENTIALING)
- **Authorized official phone:** (906) 643-0451

## Contact information

- **Practice address:** 1140 N STATE ST, SAINT IGNACE, MI 49781-1048
- **Practice address phone:** (906) 643-8585
- **Practice address fax:** (906) 643-0373
- **Mailing address:** 1140 N STATE ST, SAINT IGNACE, MI 49781-1013
- **Mailing address phone:** (906) 643-8585
- **Mailing address fax:** (906) 643-0373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0000X | Pain Management Registered Nurse | — | NULL | — |
| 163WP0000X | Pain Management Registered Nurse | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 07/24/2008
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 700D90255 | BLUE SHIELD | MI |