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Contact Information

KALKASKA MEMORIAL HEALTH CENTER
419 S CORAL ST
KALKASKA, MI49646-2503
 Phone: 231-258-7790
 Fax: 231-258-7756
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KALKASKA MEMORIAL HEALTH CENTER

NPI # 1346647617
LBN Legal business name KALKASKA MEMORIAL HEALTH CENTER
Authorized official ANDREW RAYMOND - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/02/2014
Last updated 09/18/2025 - About 9 months ago
Identifiers
MI License # 5301000299
MI Medicaid 1556877
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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