Organization
KALKASKA MEMORIAL HEALTH CENTER
Active
Other names
Kalkaska Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW RAYMOND (PRESIDENT/CEO)
(231) 258-3651
Entity
Organization
Contact information
Practice address
415 2ND ST., KALKASKA, MI 49646
(231) 258-3680
(231) 258-3695
Mailing address
4062 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 935-5652
(231) 935-7792
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09417
BCBSM -SUPPLEMENTAL
MI
05
—
1891980306
—
MI
01
—
D8982
BCBSM PRIMARY
MI
Enumeration date
09/07/2007
Last updated
09/18/2025
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