NPIMap

Organization Active NPI

Kaleva Medical Center

  • Rural Health Clinic/Center
  • Kaleva, MI
National Provider Identifier
1366522146
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
KALEVA MEDICAL CENTER
Practice address
9061 Aura Street
Kaleva, MI 49645-0141
Phone
(231) 362-2777
NPI assigned
Oct 16, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Bradley Lane BlissNPI 1114014180
Title
Owner
Phone
(231) 362-2777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9061 Aura Street
Kaleva, MI 49645-0141

Mailing address

9061 Aura St
Kaleva, MI 49645-9678
Phone (231) 362-2777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1366522146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9061 AURA ST",
            "city": "KALEVA",
            "state": "MI",
            "postal_code": "496459678",
            "telephone_number": "231-362-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9061 AURA STREET",
            "city": "KALEVA",
            "state": "MI",
            "postal_code": "496450141",
            "telephone_number": "231-362-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEVA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-362-2777"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaleva, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.