| Organization Name: | MACKINAC STRAITS HEALTH SYSTEM INC |
| NPI Number: | 1295040798 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON C ANDERSON (CFO) |
| Mailing Address: | 1140 N State St Saint Ignace |
| State: | MI US |
| Postal Code: | 497811013 |
| Phone Number: | 9066438585 |
| Fax Number: | 9066437821 |
| NPI Enumeration Date: | 08/10/2010 |
| NPI Last Update Date: | 08/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |