KALKASKA MEMORIAL HEALTH CENTER
NPI 1275307670
Clinic/Center - Rural Health in Mancelona, MI
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
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kalkaska Memorial Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
90Medicare enrollment records show 90 clinicians reassign Medicare billing to Kalkaska Memorial Health Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 22
Nearest to this location (20)
See all 90Grayling, MI 49738
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIFrequently 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.
Is Kalkaska Memorial Health Center enrolled in Medicare?
Yes. Kalkaska Memorial Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kalkaska Memorial Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 22 Medicare specialties reassign their Medicare billing to Kalkaska Memorial Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (19), Nurse Practitioner (15) and Family Practice (14). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 and Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 13 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.
# Kalkaska Memorial Health Center · NPI 1275307670
Rural Health organization in Mancelona, Michigan. Organization record, active in the CMS NPPES registry since November 7, 2023.
## Identity
- **NPI:** 1275307670 (Entity type: Organization)
- **Enumerated:** November 7, 2023
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** Yes (part of Kalkaska Memorial Health Center)
- **Authorized official:** Andrew Raymond, PRESIDENT/CEO
## Practice location
- **Address:** 419 W STATE ST, Mancelona, MI 49659-9651
- **Phone:** (231) 587-9181
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 90 clinicians in 22 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (19), Nurse Practitioner (15), Family Practice (14); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1275307670/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275307670) · Data from the CMS NPPES public registry.