KALKASKA MEMORIAL HEALTH CENTER
NPI 1891980306
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Kalkaska, MI

Active since September 07, 2007
2/5
Overall Rating
415 2ND ST., KALKASKA, MI 49646(231) 258-3680(231) 258-3695 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2025, Nov 3, 2023, Jul 21, 2022 (3 updates tracked since 2022).

About Kalkaska Memorial Health Center NPPES

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

KALKASKA MEMORIAL HEALTH CENTER (NPI 1891980306), doing business as Kalkaska Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Kalkaska, Michigan and active in the NPI registry since September 2007. The organization lists Andrew Raymond, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1891980306
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKALKASKA MEMORIAL HEALTH CENTER
Location Address415 2ND ST.Kalkaska, MI 49646
Mailing Address4062 W Royal DrTraverse City, MI 49684-8965 · (231) 935-5652 · Fax (231) 935-7792
Fax(231) 258-3695
Organization SubpartNo
Authorized OfficialAndrew RaymondPresident/ceo · (231) 258-3651
Enumeration DateSeptember 7, 2007
Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1891980306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
415 2ND ST., Kalkaska, MI 49646

Other Names 1

Doing Business AsKalkaska Dialysis Center

Other Identifiers 3

OtherD8982MI · Bcbsm Primary
Medicaid1891980306MI
Other09417MI · Bcbsm -supplemental

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

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Kalkaska Memorial Health Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Emergency Medicine19
Nurse Practitioner15
Family Practice14
Orthopedic Surgery7
General Surgery6
Certified Registered Nurse Anesthetist (CRNA)5
Anesthesiology3
Clinical Social Worker3
14 other specialties18

Nearest to this location (20)

See all 90
Family Practice
NPI 1275561474
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1912935867
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1285377960
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Medicine and Rehabilitation
NPI 1699901611
419 S CORAL ST
Kalkaska, MI 49646
(231) 285-7777
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1063041465
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7506
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1922662113
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1730185273
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7506
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1558554808
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1134720899
419 S CORAL ST
Kalkaska, MI 49646
(231) 633-9550
✔ PECOS0.1 mi
Pulmonary Disease
NPI 1467459867
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1972503324
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1417103714
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1629761747
419 S CORAL ST
Kalkaska, MI 49646
(231) 631-6684
✔ PECOS0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205324795
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1568843704
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1811872997
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7500
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Psychologist
NPI 1437452406
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.6 mi
Neurology
NPI 1639638729
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1588648539
419 W STATE ST
Mancelona, MI 49659
(231) 587-9181
✔ PECOS✔ Accepts Medicare13 mi
Obstetrics/Gynecology
NPI 1194902163
3990 EAST M72
Acme, MI 49690
(231) 938-2366
✔ PECOS✔ Accepts Medicare17 mi
See all 90 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Kalkaska Dialysis Center (CMS certification number 232645), from CMS Care Compare.

Kalkaska Dialysis Center

Dialysis facility · Kalkaska, MI
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
CMS Certification Number232645
ESRD NetworkNetwork 11
Hemodialysis Stations12
Medicare-Certified SinceMarch 17, 2008
Location415 - 2ND STKalkaska, MI 49646 · Kalkaska County
Services Offered
In-center hemodialysis Evening shifts (after 5 PM)

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 1891980306. It was assigned to this organization in the NPPES registry on September 7, 2007. The provider is doing business as Kalkaska Dialysis Center.

Where is Kalkaska Memorial Health Center located?

Kalkaska Memorial Health Center is located at 415 2nd St., Kalkaska, MI 49646. The listed phone number is (231) 258-3680.

What is Kalkaska Memorial Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

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, 2 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Kalkaska Memorial Health Center a Medicare-certified dialysis facility?

Yes. Kalkaska Dialysis Center is a Medicare-certified dialysis facility, certified since March 17, 2008.

What quality rating does Kalkaska Memorial Health Center have?

CMS rates Kalkaska Dialysis Center 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Kalkaska Memorial Health Center accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health 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.