NPIMap

Organization Active NPI

Mymichigan Medical Center Sault

Doing business as Chippewa County War Memorial Hospital, Inc

  • General Acute Care Hospital
  • Sault Sainte Marie, MI
National Provider Identifier
1295756948
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
170020 Issued in MI
Legal business name
MYMICHIGAN MEDICAL CENTER SAULT
Doing business as
Chippewa County War Memorial Hospital, Inc
Practice address
500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822
Phone
(906) 635-4460
NPI assigned
Jul 21, 2006
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah James
Title
Manager, Provider Enrollment
Phone
(989) 701-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 170020 MI Primary

Addresses

Primary practice location

500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other identifiers 2

IdentifierTypeStateIssuer
301776852MedicaidMI
401776880MedicaidMI

Other names 1

  • Chippewa County War Memorial Hospital, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070410000020 MI Part A Provider - Hospital 7315936481 Practice locations: Sault Sainte Marie, MI; Brimley, MI; Drummond Island, MI; Kincheloe, MI; Cedarville, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295756948. Details of each certification follow.

Hospital certification: CCN 230239

Legal name
MYMICHIGAN MEDICAL CENTER SAULT
Doing business as
MYMICHIGAN MEDICAL CENTER SAULT
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 2, 2013
Beds
82
Ownership / control type
Private (not for profit)
Most recent change of ownership
Dec 9, 1986 (2 total)
Organization structure
CorporationNon-profit
Enrollment address
500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Chippewa County War Memorial HospitalCCN 230239 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
War Memorial Hospital C32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Holly Kibble Individual Corporate DirectorBoard Member Jan 1, 2014
Charles Palmer Individual Corporate Officer Jan 1, 2020
Sarah James Individual Corporate OfficerManager of Operations, Pe Jul 1, 2025
Ralph J Duman Individual Corporate Officer Jan 1, 2018
Amy Goetz Individual Corporate OfficerBoard Member Jan 1, 2022
Thomas Coates Individual Corporate Officer Jan 1, 2019
Kyle P Raycraft Individual Corporate Officer Jan 1, 2020
Lydia Watson Individual Corporate OfficerBoard Member Dec 1, 2022
Garth Macmaster Individual Corporate OfficerBoard Member Jan 1, 2022
Mark Savoie Individual Corporate Officer Jan 1, 2019
Jamie Devine Adair Individual Corporate OfficerBoard Member Jan 1, 2022
Samantha Hunter Individual W-2 Managing EmployeeProvider Enrollment Coordinator Jul 12, 2023
Kevin R Kalchik Individual Corporate OfficerPresident Jan 1, 2014
Tina Church Individual Corporate Director Jul 12, 2023
Mymichigan Health Organization, Midland, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2022 100%
Maxine Anderson Individual Corporate OfficerBoard Member Aug 1, 2013
Nicole Oliver Individual W-2 Managing EmployeeVice President of Nursing Apr 1, 2023

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mymichigan Primary Care DrummondDrummond Island, MI, CCN 238767 Rural health clinic Operational/Managerial Control (100%) Aug 24, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 30

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

Affiliated clinicians 212

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 212

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1295756948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OSBORN BLVD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831822",
            "telephone_number": "906-635-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER SAULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "989-701-4734"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "170020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301776852",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401776880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chippewa County War Memorial Hospital, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.