NPIMap

Organization Active NPI

Mackinac Straits Health System Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Ignace, MI
National Provider Identifier
1295040798
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
MACKINAC STRAITS HEALTH SYSTEM INC
Practice address
1140 N State St
Saint Ignace, MI 49781-1013
Phone
(906) 643-8585
Fax
(906) 643-7821
NPI assigned
Aug 10, 2010
Last updated
Aug 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Mr. Jason C Anderson
Title
Cfo
Phone
(906) 643-0435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1140 N State St
Saint Ignace, MI 49781-1013

Mailing address

1140 N State St
Saint Ignace, MI 49781-1013
Phone (906) 643-8585

Other names 1

  • Moses Dialysis Unit Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Mackinaw Straits Health Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1295040798",
    "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": "497811013",
            "telephone_number": "906-643-8585",
            "fax_number": "906-643-7821"
        },
        {
            "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": "497811013",
            "telephone_number": "906-643-8585",
            "fax_number": "906-643-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKINAC STRAITS HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "906-643-0435",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moses Dialysis Unit",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 10, 2010; 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.