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General NPI Number Information
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NPI Number | 1164386652
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Entity Type | Organization
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Legal Business Name | KALKASKA MEMORIAL HEALTH CENTER
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 419 S CORAL ST
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City | KALKASKA
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State | MI
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Zip | 49646-2503
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Country | US
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Telephone | 231-258-7500
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Fax | 231-258-7527
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Provider Business Mailing Address
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Address Line | 419 S CORAL ST
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City | KALKASKA
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State | MI
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Zip | 49646-2503
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Country | US
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Telephone | 231-258-7500
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Fax | 231-258-7527
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Authorized Official
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Title or Position | CEO - PRESIDENT
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Name | ANDREW R. RAYMOND
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Credential |
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Telephone | 231-258-3651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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