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Organization
MACKINAC STRAITS HEALTH SYSTEM INC
Active
Organization
MACKINAC STRAITS HEALTH SYSTEM INC
Active
Other names
Mackinac Straits Hospital
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 49781-1048
(906) 643-8585
(906) 643-0373
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09610
BLUE CROSS BLUE SHIELD
MI
01
—
15223
BLUE CROSS BLUE SHIELD
MI
05
—
625356702
—
MI
Enumeration date
07/24/2008
Last updated
05/03/2021
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