Kalkaska Memorial Health Center Pharmacy

LBN: Kalkaska Memorial Health Center
Kalkaska Memorial Health Center Pharmacy is an health care organization with primary practice located at 419 S Coral St , Kalkaska MI 49646-2503. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Kalkaska Memorial Health Center can be contacted via phone (231) 258-7790, or through Rogols, Kevin J via phone (231) 258-7501.

Contact Information

Primary practice address
419 S Coral St Kalkaska MI 49646-2503
Phone: (231) 258-7790
Fax: (231) 258-7756
Website:
Map and Directions
Authorized official contact:
Name: Rogols, Kevin J
Phone: (231) 258-7501

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301000299 Michigan
Suppliers / Institutional Pharmacy 3336I0012X 5301000299 Michigan

Profile Details

NPI number 1346647617
LBN Legal business name Kalkaska Memorial Health Center
DBA Doing business as Kalkaska Memorial Health Center Pharmacy
Authorized official Rogols, Kevin J
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2014
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346647617 NPPES
Michigan MEDICAID 1556877

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