NPIMap

Organization Active NPI

Mymichigan Medical Center Sault

Doing business as MyMichigan Primary Care Magazine

  • Rural Health Clinic/Center
  • Sault Sainte Marie, MI
National Provider Identifier
1336746262
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MYMICHIGAN MEDICAL CENTER SAULT
Doing business as
MyMichigan Primary Care Magazine
Practice address
333 Magazine St
Sault Sainte Marie, MI 49783-1867
Phone
(906) 253-9374
NPI assigned
Oct 5, 2020
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MYMICHIGAN MEDICAL CENTER SAULTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 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
Rural Health Clinic/Center 261QR1300X Primary

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 1

  • MyMichigan Primary Care Magazine Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336746262. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
333 Magazine St
Sault Sainte Marie, MI 49783-1867
Related CCNs
230239

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).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0982907Mymichigan Primary Care - Magazine333 Magazine Street, Sault Sainte Marie, MI 49783Certificate of waiverFeb 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Chippewa County War Mem32 organizations share this tax ID, including this one
Part of
Chippewa County War Mem

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 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 OfficerPresident Jul 1, 2022
Amanda Peirce Individual Corporate DirectorManager, Patient Accounting Jul 31, 2024
Tina Church Individual Corporate DirectorDirector, Patient Accounting Jul 31, 2024
Tricia Gorde Individual Corporate DirectorDirector 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 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.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1336746262",
    "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": "333 MAGAZINE ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831867",
            "telephone_number": "906-253-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER SAULT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYMICHIGAN MEDICAL CENTER SAULT",
        "enumeration_date": "2020-10-05",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyMichigan Primary Care Magazine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.