Kalkaska Memorial Health Center in Traverse City - End-stage Renal Disease (esrd) Treatment

Kalkaska Memorial Health Center - NPI 1891980306

Kalkaska Memorial Health Center is a End-stage Renal Disease (esrd) Treatment in Traverse City, Michigan. Kalkaska Memorial Health Center practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Kalkaska Memorial Health Center is 1891980306. The last update date is 2023-11-03.

Kalkaska Memorial Health Center's current location address is 4062 W Royal Dr, Traverse City, Michigan. You can contact this provider via phone number 2319355652 and fax number 2319357792. The mailing address for Kalkaska Memorial Health Center is 4062 W Royal Dr, Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kalkaska Memorial Health Center
Address 4062 W Royal Dr, Traverse City, Michigan
Phone Number 2319355652
Fax Number 2319357792
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Raymond Andrew
Telephone Number 2312583651

NPI Number Detail

NPI Number 1891980306
Provider Enumeration Date 2007-09-07
Last Updated Date 2023-11-03

Provider Mailing Address Detail

Address 4062 W Royal Dr
City Traverse City
State Michigan (MI)
Post Code 496848965
Phone Number 2319355652
Fax Number 2319357792

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D8982 MI BCBSM PRIMARY
1891980306 MI --
9417 MI BCBSM -SUPPLEMENTAL

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FAQs about Kalkaska Memorial Health Center

What is the unique identifier code issued to Kalkaska Memorial Health Center by the Centers for Medicare & Medicaid Services?

The Kalkaska Memorial Health Center has been assigned the NPI (National Provider Identifier) 1891980306. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kalkaska Memorial Health Center?

The Kalkaska Memorial Health Center is physically situated at 4062 W Royal Dr, in the city of Traverse City, state of MI, with the postal code 496848965.

What is the area of specialization for Kalkaska Memorial Health Center, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kalkaska Memorial Health Center is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of expertise is 261Qe0700X.

On what date did the Kalkaska Memorial Health Center receive the assignment of its 1891980306 from the Centers for Medicare & Medicaid Services?

The Kalkaska Memorial Health Center was issued its 1891980306 by the Centers for Medicare & Medicaid Services on 2007-09-07.

When was the information regarding Kalkaska Memorial Health Center most recently updated?

The details pertaining to the Kalkaska Memorial Health Center, including its address, specialty, and other relevant information, were last refreshed on 2023-11-03.

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