Organization
KALKASKA MEMORIAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R. RAYMOND (PRESIDENT/CEO)
(231) 258-3651
Entity
Organization
Contact information
Practice address
419 S CORAL ST, KALKASKA, MI 49646-2503
(231) 258-7500
(231) 258-7527
Mailing address
PO BOX 916, TRAVERSE CITY, MI 49685-0916
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700D060020
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
700D060020
BLUE CARE NETWORK
—
Enumeration date
04/30/2008
Last updated
09/18/2025
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