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
(231) 935-6181
Mailing address
PO BOX 916, TRAVERSE CITY, MI 49685-0916
(231) 935-6181
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
MI
282N00000X
General Acute Care Hospital
—
MI
282NC0060X
Critical Access Hospital
Primary
—
MI
282NR1301X
Rural Acute Care Hospital
—
MI
314000000X
Skilled Nursing Facility
—
MI
341600000X
Ambulance
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00211
BLUE CROSS HOSPITAL
MI
01
—
09553
BLUE CROSS LTC SECONDARY
MA
01
—
15211
BLUE CROSS LTC PRIMARY
MI
05
—
1556877
—
MI
01
—
23D0651073
CLIA
MI
05
—
5170952
—
MI
Enumeration date
06/24/2005
Last updated
09/18/2025
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