| Organization Name: | MACKINAC STRAITS HOSPITAL AUTHORITY |
| NPI Number: | 1760545008 |
| 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: | 9066436188 |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 07/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 490030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |