Organization Active NPI

Mackinac Straits Health System Inc

Doing business as MSHS Crna Group

  • Certified Registered Nurse Anesthetist
  • Saint Ignace, MI
National Provider Identifier
1275931065
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MACKINAC STRAITS HEALTH SYSTEM INC
Doing business as
MSHS Crna Group
Practice address
1140 N State St
Saint Ignace, MI 49781-1048
Phone
(906) 643-8585
Fax
(906) 643-0373
NPI assigned
Dec 11, 2014
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MACKINAC STRAITS HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sonja Sprague
Title
Credentialing
Phone
(906) 643-0451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

1140 N State St
Saint Ignace, MI 49781-1048

Mailing address

1140 N State St
Saint Ignace, MI 49781-1048
Phone (906) 643-8585

Other names 1

  • MSHS CRNA GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mackinaw Straits Sys Inc12 organizations share this tax ID, including this one
Part of
Mackinaw Straits Sys Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1275931065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N STATE ST",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811048",
            "telephone_number": "906-643-8585",
            "fax_number": "906-643-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N STATE ST",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811048",
            "telephone_number": "906-643-8585",
            "fax_number": "906-643-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKINAC STRAITS HEALTH SYSTEM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACKINAC STRAITS HEALTH SYSTEM INC",
        "enumeration_date": "2014-12-11",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "906-643-0451"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSHS CRNA GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MSHS CRNA GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Ignace, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.