# KALKASKA MEMORIAL HEALTH CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Kalkaska Memorial Health Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346647617
- **Authorized official:** ANDREW R. RAYMOND (PRESIDENT/CEO)
- **Authorized official phone:** (231) 258-3651

## Contact information

- **Practice address:** 419 S CORAL ST, KALKASKA, MI 49646-2503
- **Practice address phone:** (231) 258-7790
- **Practice address fax:** (231) 258-7756
- **Mailing address:** 419 S CORAL ST, KALKASKA, MI 49646-2503
- **Mailing address phone:** (231) 258-7790
- **Mailing address fax:** (231) 258-7756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 5301000299 | MI | — |
| 3336I0012X | Institutional Pharmacy | 5301000299 | MI | Yes |

## Other

- **Enumeration date:** 12/02/2014
- **Last updated:** 09/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1556877 | — | MI |