KEWEENAW HOLISTIC FAMILY MEDICINE, PC
NPI 1275783342
Clinic/Center - Primary Care in Calumet, MI

NPI Status: Active since September 25, 2008

Contact Information

56611 CALUMET AVE
CALUMET, MI
ZIP 49913
Phone: (906) 337-1844

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 23D2260777
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-22-2026

About KEWEENAW HOLISTIC FAMILY MEDICINE, PC

This page provides the complete NPI Profile along with additional information for Keweenaw Holistic Family Medicine, Pc, a primary care provider established in Calumet, Michigan operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1275783342 assigned on September 2008. The practitioner's primary taxonomy code is 261QP2300X with license number 4704208143 (MI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Jill E. Kalcich M.d. (President)

NPI
1275783342
Provider Name
KEWEENAW HOLISTIC FAMILY MEDICINE, PC
Entity Type
Organization
Location Address
56611 CALUMET AVE CALUMET, MI 49913
Location Phone
(906) 337-1844
Mailing Address
56611 CALUMET AVE CALUMET, MI 49913
Mailing Phone
(906) 337-1844
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2008
Last Update Date
07-21-2014
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A primary care provider (PCP) like Keweenaw Holistic Family Medicine, Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
4704208143
License State
MI

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JILL E. KALCICH M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(906) 337-1844

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2260777
Facility Type
Physician Office
Certificate Effective Date
May 23, 2024
Certificate Expiration Date
May 22, 2026
Laboratory Director
JILL E. KALCICH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Keweenaw Holistic Family Medicine, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275783342
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145148638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 4 + 8 + 6 + 3 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1275783342 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275783342, enumerated in the NPI registry as an "organization" on September 25, 2008

The provider is located at 56611 Calumet Ave Calumet, Mi 49913 and the phone number is (906) 337-1844

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 23D2260777 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 25, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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