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NPI Code Detail

MEDICARE: MACKINAC STRAITS HEALTH SYSTEM

MEDICARE: MACKINAC STRAITS HEALTH SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy
23336L0003XLong Term Care Pharmacy
33336I0012XInstitutional Pharmacy
4282NC0060XCritical Access Hospital5301008901MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12324490OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1649210394
Entity Type Code : Organization
Provider Name (Legal Business Name) : MACKINAC STRAITS HEALTH SYSTEM
Provider Business Mailing Address
First Line : 220 BURDETTE ST
Second Line :
City : SAINT IGNACE
State : MI
Zip : 49781-1712
Country : US
Telephone Number : 906-643-0447
Fax Number : 906-643-0472
Provider Business Practice Location Address
First Line : 220 BURDETTE ST
Second Line :
City : SAINT IGNACE
State : MI
Zip : 49781-1712
Country : US
Telephone Number : 906-643-0447
Fax Number : 906-643-0472
Authorized Official
Title or Position : PHARMACIST IN CHARGE
Name : PETER ANDERSEN
Credential :
Telephone Number : 906-643-0447
Provider Enumeration Date : 06/08/2006
Last Update Date : 10/16/2008

Similar Medicare Providers

1316968944 — MACKINAC STRAITS HOSPITAL AUTHORITY
Practice Location Address:
220 BURDETTE ST
SAINT IGNACE, MI
49781-1712
Practice Phone: 906-643-8585
Practice Fax: 906-643-0463
1336162999 — ALICE LINDSEY M.D.
Practice Location Address:
220 BURDETTE ST
SAINT IGNACE, MI
49781-1712
Practice Phone: 906-643-0400
Practice Fax: 906-643-6188
1881618205 — JEFFREY A BENDER M.D.
Practice Location Address:
220 BURDETTE ST
SAINT IGNACE, MI
49781-1712
Practice Phone: 906-643-8585
Practice Fax: 906-643-0463
1023022902 — JOSEPH MARVYN NERI D.O.
Practice Location Address:
220 BURDETTE ST
SAINT IGNACE, MI
49781-1712
Practice Phone: 906-643-8585
Practice Fax: 906-643-9036
1992887202 — MICHAEL W JOHNSON, MD, PC
Practice Location Address:
220 BURDETTE ST
SAINT IGNACE, MI
49781-1712
Practice Phone: 906-643-0466
Practice Fax:
1629155304 — MOSES DIALYSIS UNIT
Practice Location Address:
220 BURDETTE ST
SAINT IGNACE, MI
49781-1712
Practice Phone: 906-643-0408
Practice Fax: 906-643-7821

Directions to “MACKINAC STRAITS HEALTH SYSTEM ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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