Healthcare Provider Details

I. General information

NPI: 1588727671
Provider Name (Legal Business Name): MACKINAC STRAITS HOSPITAL & HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARKET ST.
MACKINAC ISLAND MI
49757-0536
US

IV. Provider business mailing address

220 BURDETTE ST
SAINT IGNACE MI
49781-1712
US

V. Phone/Fax

Practice location:
  • Phone: 906-847-3582
  • Fax: 906-847-6490
Mailing address:
  • Phone: 906-643-8585
  • Fax: 906-643-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RODNEY NELSON
Title or Position: CEO
Credential:
Phone: 906-643-0455