KALKASKA MEMORIAL HEALTH CENTER (NPI# 1891980306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891980306 |
| Entity Type | Organization |
| Organization Name | KALKASKA MEMORIAL HEALTH CENTER |
| Other Organization Name | KALKASKA DIALYSIS CENTER |
| Practice Address |
415 2nd St. Kalkaska MI 49646 |
| Mailing Address |
4062 W Royal Dr Traverse City MI 49684-8965 |
| Practice Telephone | 2312583680 |
| Practice Fax Number | 2312583695 |
| Mailing Telephone | 2319355652 |
| Mailing Fax Number | 2319357792 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2014-07-22 |
| Authorized Official Name | MRS. SHEILA ATWOOD (COO) |
| Authorized Official Telephone | 2312587500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
========= | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1891980306 | 05 | |
| MI | BCBSM -SUPPLEMENTAL | 09417 | 01 |
| MI | BCBSM PRIMARY | D8982 | 01 |
| Other Name | Type Code |
|---|---|
| Kalkaska Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346647617 | Kalkaska Memorial Health Center | Pharmacy | 419 S Coral St, Kalkaska, MI 49646-2503 | 2014-12-02 |
| 1881967495 | Kalkaska Memorial Health Center | Nurse Practitioner | 419 S Coral St, Kalkaska, MI 49646-2503 | 2012-02-13 |
| 1811285604 | Kalkaska Memorial Health Center | Advanced Practice Midwife | 419 S Coral St, Kalkaska, MI 49646-2503 | 2011-07-14 |
| 1376799650 | Kalkaska Memorial Health Center | Family Medicine | 419 S Coral St, Kalkaska, MI 49646-2503 | 2008-08-18 |
| 1033385240 | Kalkaska Memorial Health Center | Advanced Practice Midwife | 419 S Coral St, Kalkaska, MI 49646-2503 | 2008-05-07 |
| 1013183060 | Kalkaska Memorial Health Center | Counselor | 419 S Coral St, Kalkaska, MI 49646-2503 | 2008-04-30 |
| 1306968102 | Kalkaska Memorial Health Center | General Practice | 419 S Coral St, Kalkaska, MI 49646-2503 | 2007-04-04 |
| 1497751309 | Kalkaska Memorial Health Center | Medicare Defined Swing Bed Unit | 419 S Coral St, Kalkaska, MI 49646 | 2005-06-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KALKASKA MEMORIAL HEALTH CENTER | 419 S Coral St Ste A, Kalkaska, MI 49646-2503 |
| Street Address |
415 2ND ST. |
| City | KALKASKA |
| State | MI |
| Zip Code | 49646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245737915 | Leanne Berry | Physical Therapist | 409 S. Coral, Kalkaska, MI 49646 | 2018-04-10 |
| 1770030488 | Duane Allen | Pharmacist | 784 South Cedar St Ste E, Kalkaska, MI 49646 | 2016-09-10 |
| 1831524040 | Stephanie Marie Murden | Homemaker | 5031 Wagenschutz Rd., Kalkaska, MI 49646 | 2013-09-06 |
| 1508202615 | Dynamic Hearing Care Systems LLC. | Hearing Instrument Specialist | 303 N. Cedar St., Kalkaska, MI 49646 | 2013-05-15 |
| 1063722965 | Robin Lee Nelson | Massage Therapist | 110 W. Fourth St., Kalkaska, MI 49646 | 2010-10-14 |
| 1578886057 | Your Community Above and Beyond Home Health Care | In Home Supportive Care | 303 Cedar Street, Kalkaska, MI 49646 | 2010-03-11 |
| 1114121001 | Kalkaska Chiropractic Center | Chiropractor | 224 S Cedar St, Kalkaska, MI 49646 | 2007-06-13 |
| 1659490860 | Active Brace and Limb | Prosthetic/Orthotic Supplier | 215 S Cedar Street, Kalkaska, MI 49646 | 2007-03-28 |
| 1205849882 | Robert E Molter Jr. | Optometrist | 882 M 72 Nw, Kalkaska, MI 49646 | 2006-08-14 |
| 1154365815 | Lauren Elizabeth Skarnulis | Optometrist | 882 M-72 West, Kalkaska, MI 49646 | 2006-06-15 |
| Find all providers in zip 49646 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
| 1144820226 | Heritage Home Dialysis LLC | Clinic/Center | 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 | 2020-10-28 |
| 1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
| 1457973257 | Fms Owosso, LLC | Clinic/Center | 918 Corunna Ave, Owosso, MI 48867-3768 | 2020-05-14 |
| 1023650926 | Falmont Dialysis LLC | Clinic/Center | 37290 5 Mile Rd, Livonia, MI 48154-1848 | 2019-10-11 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
| 1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.