KALKASKA MEMORIAL HEALTH CENTER
NPI 1275307670
Clinic/Center - Rural Health in Mancelona, MI

Active since November 07, 2023CLIA 23D0893773 · Waiver
419 W STATE ST, MANCELONA, MI 49659(231) 587-9181 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 7, 2023 (2 updates tracked since 2023).

About Kalkaska Memorial Health Center NPPES

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

KALKASKA MEMORIAL HEALTH CENTER (NPI 1275307670) is a healthcare organization registered as a rural health in Mancelona, Michigan and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Andrew Richard Raymond, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1275307670
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameKALKASKA MEMORIAL HEALTH CENTER
Location Address419 W STATE STMancelona, MI 49659-9651
Mailing Address419 S Coral StKalkaska, MI 49646-2503 · (231) 258-7500 · Fax (231) 258-7527
Organization SubpartYes
Authorized OfficialAndrew Richard RaymondPresident/ceo · (231) 258-3651
Enumeration DateNovember 7, 2023
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
NPI 1275307670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
419 W STATE ST, Mancelona, MI 49659

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

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 23D0893773

Kalkaska Memorial Health Center · Mancelona, MI
Active · expires Jan 28, 2028
CLIA Number23D0893773
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorEden Elfrink
Laboratory Phone(231) 258-3620
Laboratory LocationKalkaska Memorial Health Center419 W State Street, Mancelona, MI 49659
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Family Medicine
419 W STATE ST
MANCELONA, MI 49659
Physician Assistant (Medical)
419 W STATE ST
MANCELONA, MI 49659
Family Medicine
419 W STATE ST
MANCELONA, MI 49659
Family Medicine
419 W STATE ST
MANCELONA, MI 49659
Physician Assistant
419 W STATE ST
MANCELONA, MI 49659
Family Medicine
419 W STATE ST
MANCELONA, MI 49659
Family Medicine
419 W STATE ST
MANCELONA, MI 49659
Physician Assistant
419 W STATE ST
MANCELONA, MI 49659

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kalkaska Memorial Health Center's NPI number?

The NPI number for Kalkaska Memorial Health Center is 1275307670. It was assigned to this organization in the NPPES registry on November 7, 2023.

Where is Kalkaska Memorial Health Center located?

Kalkaska Memorial Health Center is located at 419 W State St, Mancelona, MI 49659. The listed phone number is (231) 587-9181.

What is Kalkaska Memorial Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Kalkaska Memorial Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0893773) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kalkaska Memorial Health Center accept?

Health plans from Blue Care Network of Michigan list Kalkaska Memorial Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kalkaska Memorial Health Center was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.