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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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