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General NPI Number Information
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NPI Number | 1497751309
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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 | 06/24/2005
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Last Update Date | 09/18/2025
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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
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Country | US
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Telephone | 231-935-6181
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 916
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City | TRAVERSE CITY
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State | MI
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Zip | 49685-0916
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Country | US
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Telephone | 231-935-6181
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State | MI
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Taxonomy #5
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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 | MI
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Taxonomy #6
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State | MI
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