KALKASKA MEMORIAL HEALTH CENTER; NPI #1497751309

Contact Information

KALKASKA MEMORIAL HEALTH CENTER

419 S CORAL ST
KALKASKA, MI 49646

Phone: 231-935-6181
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Critical Access	282NC0060X	A0[7]	Critical Access Hospital
Ambulance	341600000X	59	Ambulance Service Provider
General Acute Care Hospital	282N00000X	A0[7]	Hospital-General
Medicare Defined Swing Bed Unit	275N00000X	A0[7]	Hospital-Swing Bed Approved
Rural	282NR1301X
Skilled Nursing Facility	314000000X	A1[8]	Skilled Nursing Facility

Indicates primary specialty

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NPI Profile & details for KALKASKA MEMORIAL HEALTH CENTER

NPI # 1497751309

LBN Legal business name KALKASKA MEMORIAL HEALTH CENTER

Authorized official ANDREW RAYMOND - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/24/2005

Last updated 09/18/2025 - About 9 months ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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