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Mymichigan Medical Center Sault

Organization Active NPI Rural Health Clinic/Center · Sault Sainte Marie, MI

NPI 1336746262 · NPPES record last updated Jan 14, 2026

Key facts

NPI
1336746262
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
MYMICHIGAN MEDICAL CENTER SAULT
Practice address
333 Magazine St
Sault Sainte Marie, MI 49783-1867
Phone
(906) 253-9374
NPI assigned
Oct 5, 2020
Organization subpart
Yes
Parent organization (as reported)
MYMICHIGAN MEDICAL CENTER SAULT

Authorized official

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 12

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

Corporate family (same tax ID) 31

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

View all 31

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

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 101

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0982907Mymichigan Primary Care - Magazine
333 Magazine Street, Sault Sainte Marie, MI 49783		Certificate of waiverFeb 7, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Rural health clinic certification: CCN 238774

Legal name
MYMICHIGAN MEDICAL CENTER SAULT
Doing business as
MYMICHIGAN PRIMARY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 13, 2023
Last certification
Feb 13, 2023
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Enrollment address
333 Magazine St
Sault Sainte Marie, MI 49783-1867
Related CCNs
230239

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Sarah James
Individual 		W-2 Managing Employee Jul 31, 2024
Samantha Hunter
Individual 		W-2 Managing Employee Feb 19, 2025
Kevin R Kalchik
Individual 		Corporate Officer
President		 Jul 1, 2022
Amanda Peirce
Individual 		Corporate Director
Manager, Patient Accounting		 Jul 31, 2024
Tina Church
Individual 		Corporate Director
Director, Patient Accounting		 Jul 31, 2024
Tricia Gorde
Individual 		Corporate Director
Director of Operations		 Jan 20, 2025

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 Drummond
Drummond Island, MI · CCN 238767		 Rural health clinic Operational/Managerial Control (100%) Aug 24, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220616002788 MI Part a Provider - Rural Health Clinic 7315936481 Practice locations: Sault Sainte Marie, MI

National Provider Directory

Tax ID family
Chippewa Cnty War Memorial (32 organizations share this tax ID)
Part of
Chippewa Cnty War Memorial

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

333 Magazine St
Sault Sainte Marie, MI 49783-1867

Mailing address

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

Other names

  • MyMichigan Primary Care Magazine Doing business as

Other providers in Sault Sainte Marie, MI

All providers in Sault Sainte Marie, MI · Rural Health Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.