NPIMap

Organization Active NPI

Mackinac Straits Hospital & Health Center

Doing business as Mackinac Island Medical Center

  • Primary Care Clinic/Center
  • Mackinac Island, MI
National Provider Identifier
1588727671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MACKINAC STRAITS HOSPITAL & HEALTH CENTER
Doing business as
Mackinac Island Medical Center
Practice address
Market St.
Mackinac Island, MI 49757-0536
Phone
(906) 847-3582
Fax
(906) 847-6490
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rodney Nelson
Title
Ceo
Phone
(906) 643-0455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

Market St.
Mackinac Island, MI 49757-0536

Mailing address

220 Burdette St
Saint Ignace, MI 49781-1712
Phone (906) 643-8585

Other identifiers 1

IdentifierTypeStateIssuer
700D96239OtherMIBLUE CROSS BSM GROUP

Other names 1

  • Mackinac Island Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mackinac Straits Hospital and Health Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588727671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BURDETTE ST",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811712",
            "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": "MARKET ST.",
            "city": "MACKINAC ISLAND",
            "state": "MI",
            "postal_code": "497570536",
            "telephone_number": "906-847-3582",
            "fax_number": "906-847-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKINAC STRAITS HOSPITAL & HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "906-643-0455"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BSM GROUP",
            "identifier": "700D96239",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mackinac Island Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mackinac Island, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.