NPIMap

Organization Active NPI

Mackinac Straits Health System Inc

Doing business as Pickford Medical Center

  • Rural Health Clinic/Center
  • Pickford, MI
National Provider Identifier
1629360797
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MACKINAC STRAITS HEALTH SYSTEM INC
Doing business as
Pickford Medical Center
Practice address
7742 N M 129
Pickford, MI 49774-9003
Phone
(906) 647-2217
Fax
(906) 647-2228
NPI assigned
May 9, 2011
Last updated
Dec 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Mr. Rodney Nelson
Title
Ceo
Phone
(906) 643-0466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

7742 N M 129
Pickford, MI 49774-9003

Mailing address

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

Other names 1

  • Pickford Medical Center Doing business as

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": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1629360797",
    "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": "7742 N M 129",
            "city": "PICKFORD",
            "state": "MI",
            "postal_code": "497749003",
            "telephone_number": "906-647-2217",
            "fax_number": "906-647-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKINAC STRAITS HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "906-643-0466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pickford Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pickford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.