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CAH231301-01 KALKASKA MEMORIAL HEALTH CENTER (Active)
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Main Details
Name
KALKASKA MEMORIAL HEALTH CENTER
Subdivision Name
KALASKA MEMORIAL HEALTH CENTER-RHC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH231301-01
Medicare Provider Number
231301
Outpatient Facility Provider Number
233975
Additional Details
Current Program Status
Active
Registration Date
9/22/2010
Participating Start Date
4/1/2011
Participating Approval Date
3/16/2011
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Kalkaska Memorial Health Center
Andrew Raymond, CEO
(231) 258-3651
Primary Contact
Kalkaska Memorial Health Center
Chandra Whiting, Executive Assistant
(231) 258-7502
Addresses
Street Address
419 S. CORAL STREET
KALKASKA, MI 49646
Billing Address
Kalkaska Memorial Health Center
P.O. Box 916
Traverse City, MI 49685
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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