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Organization

MACKINAC STRAITS HEALTH SYSTEM INC

Active
Parent organization
MACKINAC STRAITS HEALTH SYSTEM INC
Other names
Rivertown Medical Clinic, St. Ignace Medical Clinic, Annex
Organization subpart
Yes

Provider details

NPI number
Legal business name
MACKINAC STRAITS HEALTH SYSTEM INC
Authorized official
SONJA SPRAGUE (CREDENTIALING)
(906) 643-0451
Entity
Organization

Contact information

Practice address
920 S HURON ST, CHEBOYGAN, MI 49721-2267
(231) 597-8192
(231) 597-8463
Mailing address
1140 N STATE ST, SAINT IGNACE, MI 49781-1048

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
238716
MEDICARE
Enumeration date
04/19/2018
Last updated
10/21/2025
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