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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
419 S CORAL ST, KALKASKA, MI 49646-2503
(231) 258-7500
(231) 258-7527

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RG0100X
Gastroenterology Physician
207RP1001X
Pulmonary Disease Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208200000X
Plastic Surgery Physician
208600000X
Surgery Physician
208D00000X
General Practice Physician
261QR1300X
Rural Health Clinic/Center
Primary
MI
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
367A00000X
Advanced Practice Midwife

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23D0948898
CLIA
MI
Enumeration date
04/04/2007
Last updated
09/18/2025
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