KALKASKA MEMORIAL HEALTH CENTER
NPI 1013183060
Family Medicine in Kalkaska, MI

Q: What is Kalkaska Memorial Health Center's NPI number?

The NPI number for Kalkaska Memorial Health Center is 1013183060. It was assigned to this organization in the NPPES registry on April 30, 2008.

Q: What is Kalkaska Memorial Health Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 30, 2008CLIA Certified · 3 labs

419 S CORAL ST, KALKASKA, MI 49646(231) 258-7500(231) 258-7527 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, Nov 8, 2024, Sep 10, 2021 and 3 more (6 updates tracked since 2019).

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About Kalkaska Memorial Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALKASKA MEMORIAL HEALTH CENTER (NPI 1013183060) is a healthcare organization registered as a family medicine in Kalkaska, Michigan and active in the NPI registry since April 2008. The organization holds 3 active CLIA laboratory certificates and lists Andrew R. Raymond, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1013183060

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKALKASKA MEMORIAL HEALTH CENTER

Location Address419 S CORAL STKalkaska, MI 49646-2503

Mailing AddressPo Box 916Traverse City, MI 49685-0916

Phone(231) 258-7500

Fax(231) 258-7527

Organization SubpartNo

Authorized OfficialAndrew R. RaymondPresident/ceo · (231) 258-3651

Enumeration DateApril 30, 2008

Last NPPES UpdateSeptember 18, 20256 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1013183060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X

419 S CORAL ST, Kalkaska, MI 49646

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Other Identifiers 2

Other700D060020MI · Blue Cross Blue Shield Of Michigan

Other700D060020Blue Care Network

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2038127

Kalkaska Memorial Health Center Teen Health Corner · Kalkaska, MI

Active · expires Mar 12, 2028

CLIA Number23D2038127

Laboratory TypeAdolescent Health Ctr

Certificate Effective DateMarch 13, 2026

Certificate Expiration DateMarch 12, 2028

Laboratory DirectorNatalie J. Okerson-Sparks

Laboratory Phone(231) 258-7791

Laboratory LocationKalkaska Memorial Health Center Teen Health Corner419 S Coral Street, Kalkaska, MI 49646

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 23D0651073

Kalkaska Memorial Health Center · Kalkaska, MI

Active · expires Feb 19, 2028

CLIA Number23D0651073

Laboratory TypeHospital

Certificate Effective DateFebruary 20, 2026

Certificate Expiration DateFebruary 19, 2028

Laboratory DirectorDr. William A. Kanner

Laboratory Phone(231) 258-7508

Laboratory LocationKalkaska Memorial Health Center419 S Coral St, Kalkaska, MI 49646

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 23D2195679

Kalkaska Memorial Health Center · Kalkaska, MI

Active · expires Oct 11, 2026

CLIA Number23D2195679

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateOctober 12, 2024

Certificate Expiration DateOctober 11, 2026

Laboratory DirectorJulie A. Krauth

Laboratory Phone(231) 258-8632

Laboratory LocationKalkaska Memorial Health Center419 S Coral Street, Kalkaska, MI 49646

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN KELLY NYITRAY

Speech-Language Pathologist