OrganizationActive
Kalkaska Memorial Health Center
NPI 1922870575 · Family Medicine Physician · Mancelona, MI
Provider details
- NPI number
- 1922870575
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Kalkaska Memorial Health Center
- Organization subpart
- Yes
- Authorized official
- Andrew Raymond, President/Ceo(231) 258-3651
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
419 W State St
Mancelona, MI 49659-9651
Phone: (231) 587-9181
Fax: (231) 587-0923
Street-level locationGet directions
Mailing address
419 S Coral St
Kalkaska, MI 49646-2503
Registry dates
- Enumerated
- 2023-10-26
- Last updated
- 2025-09-18
- Certified
- 2025-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.