National Provider Identifier Database

KALKASKA MEMORIAL HEALTH CENTER
Critical Access

Contact Information

KALKASKA MEMORIAL HEALTH CENTER
419 S CORAL ST
KALKASKA, MI  49646
Phone: 231-935-6181
Fax:
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Ambulance 341600000X
General Acute Care Hospital 282N00000X
Medicare Defined Swing Bed Unit 275N00000X
Rural 282NR1301X
Skilled Nursing Facility 314000000X

* Indicates primary specialty

NPI Profile & details for KALKASKA MEMORIAL HEALTH CENTER

NPI Number 1497751309
Legal business name
LBN		 KALKASKA MEMORIAL HEALTH CENTER
Authorized official ANDREW RAYMOND - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 06/24/2005
Last updated 09/18/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • MI Medicaid: 1556877
  • MI Medicaid: 5170952
  • MA Other: 09553 BLUE CROSS LTC SECONDARY
  • MI Other: 00211 BLUE CROSS HOSPITAL
  • MI Other: 15211 BLUE CROSS LTC PRIMARY
  • MI Other: 23D0651073 CLIA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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