Active NPI
Kalkaska Memorial Health Center
- Advanced Practice Midwife
- Kalkaska, MI
National Provider Identifier
1811285604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 400020
- Legal business name
- KALKASKA MEMORIAL HEALTH CENTER
- Practice address
- 419 S Coral St
Kalkaska, MI 49646-2503 - Phone
- (231) 258-7500
- Fax
- (231) 258-7527
- NPI assigned
- Jul 14, 2011
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- James Austin
- Title
- Ceo
- Phone
- (231) 258-7501
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 400020 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
419 S Coral St
Kalkaska, MI 49646-2503
Mailing address
419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2011.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310601600000",
"number": "1811285604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 S CORAL ST",
"city": "KALKASKA",
"state": "MI",
"postal_code": "496462503",
"telephone_number": "231-258-7500",
"fax_number": "231-258-7527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 S CORAL ST",
"city": "KALKASKA",
"state": "MI",
"postal_code": "496462503",
"telephone_number": "231-258-7500",
"fax_number": "231-258-7527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALKASKA MEMORIAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-14",
"last_updated": "2011-07-14",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "231-258-7501"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "MI",
"license": "400020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalkaska, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.