Organization Name: | MACKINAC STRAITS HOSPITAL AUTHORITY |
NPI Number: | 1316968944 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODNEY NELSON (CEO) |
Mailing Address: | 220 Burdette St Saint Ignace |
State: | MI US |
Postal Code: | 497811712 |
Phone Number: | 9066438585 |
Fax Number: | 9066430463 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 490030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |