MACKINAC STRAITS HEALTH SYSTEM INC (NPI# 1902061385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902061385 |
| Entity Type | Organization |
| Organization Name | MACKINAC STRAITS HEALTH SYSTEM INC |
| Other Organization Name | MACKINAC STRAITS HOSPITAL |
| Practice Address |
1140 N State St Saint Ignace MI 49781-1048 |
| Practice Telephone | 9066438585 |
| Practice Fax Number | 9066430373 |
| Mailing Telephone | 9066438585 |
| Mailing Fax Number | 9066430373 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | RODNEY NELSON (CEO) |
| Authorized Official Telephone | 9066438585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 625356702 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 15223 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 09610 | 01 |
| Other Name | Type Code |
|---|---|
| Mackinac Straits Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245554914 | Mackinac Straits Health System Inc | Clinic/Center | 420 S Nicolet St, Mackinaw City, MI 49701-9657 | 2010-03-24 |
| 1659868206 | Mackinac Straits Health System Inc | Clinic/Center | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-19 |
| 1275931065 | Mackinac Straits Health System Inc | Nurse Anesthetist, Certified Registered | 1140 N State St, Saint Ignace, MI 49781-1048 | 2014-12-11 |
| 1629360797 | Mackinac Straits Health System Inc | Clinic/Center | 7742 N M 129, Pickford, MI 49774-9003 | 2011-05-09 |
| 1295040798 | Mackinac Straits Health System Inc | Clinic/Center | 1140 N State St, Saint Ignace, MI 49781-1013 | 2010-08-10 |
| 1437391216 | Mackinac Straits Health System Inc | General Acute Care Hospital | 220 Burdette St, Saint Ignace, MI 49781-1712 | 2009-03-25 |
| 1811152291 | Mackinac Straits Health System Inc | Medicare Defined Swing Bed Unit | 1140 N State St, Saint Ignace, MI 49781-1048 | 2008-07-24 |
| 1124283502 | Mackinac Straits Health System Inc | General Acute Care Hospital | 1140 N State St, Saint Ignace, MI 49781-1048 | 2008-07-24 |
| 1659536035 | Mackinac Straits Health System Inc | General Practice | 1140 N State St, Saint Ignace, MI 49781-1048 | 2008-07-24 |
| 1013172493 | Mackinac Straits Health System Inc | Clinic/Center | 1140 N State St, Saint Ignace, MI 49781-1048 | 2008-07-24 |
| Street Address |
1140 N STATE ST |
| City | SAINT IGNACE |
| State | MI |
| Zip Code | 49781-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700866415 | Charlene J Sweeney | Psychiatry & Neurology | 1140 N State St, Saint Ignace, MI 49781-1048 | 2006-01-19 |
| 1144846163 | Nicole Kushner | Student in an Organized Health Care Education/Training Program | 1140 N State St, Saint Ignace, MI 49781-1048 | 2020-06-25 |
| 1295350429 | Shannon Louise Slocum | Nurse Practitioner | 1140 N State St, Saint Ignace, MI 49781-1048 | 2020-06-12 |
| 1750937546 | Thomas Robert Bahra | Pharmacist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2019-08-16 |
| 1275092561 | Brandon Vincent | Nurse Practitioner | 1140 N State St, Saint Ignace, MI 49781-1048 | 2019-03-15 |
| 1871074724 | Rebeckah Zaragoza | Social Worker | 1140 N State St, Saint Ignace, MI 49781 | 2018-08-28 |
| 1659868206 | Mackinac Straits Health System Inc | Clinic/Center | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-19 |
| 1447757208 | Christina Burlak | Social Worker | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-09 |
| 1104322270 | James John Mattson | Physical Therapist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-05 |
| 1356845663 | Stefanie Mattson | Occupational Therapist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207658 | Stephanie Vaughn | Occupational Therapist | 783 W Lant Rd, Saint Ignace, MI 49781 | 2018-03-08 |
| 1124548292 | Straits Area Pharamcy Inc | Pharmacy | 1140 North State Street Suite 1500, Saint Ignace, MI 49781 | 2017-06-21 |
| 1265712442 | Elizabeth Ann Fischer | Nurse's Aide | W1037 Hwy 2, Apt 1, St. Ignace, MI 49781 | 2011-08-19 |
| 1902131733 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 396 N. State Street, 4th Floor, St. Ignace, MI 49781 | 2009-10-13 |
| 1952569378 | Kathryn E Mizzi | Social Worker | 720 W Us-2 Suite D, Saint Ignace, MI 49781 | 2008-06-02 |
| 1174542781 | Edward F Smith | Specialist | 1140 N. State Street, St. Ignace, MI 49781 | 2006-07-18 |
| 1548295959 | David James Thurston | Chiropractor | 135 Bertrand Street, St Ignace, MI 49781 | 2006-07-12 |
| 1326026501 | Susan Herderich Strich | Internal Medicine | 1140 North State Street, Saint Ignace, MI 49781 | 2006-01-06 |
| 1790327518 | Lucas James Thurston | Chiropractor | 135 Bertrand Street, Saint Ignace, MI 49781 | 2019-10-14 |
| 1619419033 | Deborah Narrin | Counselor | 799 Hombach St, Saint Ignace, MI 49781 | 2016-11-16 |
| Find all providers in zip 49781 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841354743 | Mackinac Straits Hospital Authority | Skilled Nursing Facility | 220 Burdette St, Saint Ignace, MI 49781-1712 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
| 1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
| 1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| Find all providers with the same taxonomy | ||||
| City | SAINT IGNACE |
| Zip Code | 49781 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.