# MACKINAC STRAITS HEALTH SYSTEM INC

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

## Provider details

- **NPI number:** 1902061385
- **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 49781-1048
- **Mailing address phone:** (906) 643-8585
- **Mailing address fax:** (906) 643-0373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2008
- **Last updated:** 05/03/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09610 | BLUE CROSS BLUE SHIELD | MI |
| 01 | — | 15223 | BLUE CROSS BLUE SHIELD | MI |
| 05 | — | 625356702 | — | MI |