Organization · Type 2 NPI

Hackley Community Care Center Inc

Federally Qualified Health Center (FQHC) · Muskegon, MI

NPI number 1073021754 Active

Practice location

120 N Park St Ste A
Muskegon, MI 49442-1722

Call (231) 788-7600 Map

Mailing address

2700 Baker St Fl 3
Muskegon, MI 49444-2157

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Stephanie Anne Weesies, LMSWClinical Social Worker Muskegon, MI NPI 1326288481

Other federally qualified health center (fqhc) providers in Muskegon

See all in Muskegon →

NPI record

NPI: 1073021754
Entity type: Organization (Type 2)
Issued: Jan 17, 2018
Last updated: May 11, 2018
Status: Active
Subpart: Yes of Hackley Community Care Center Inc

Other names

<unavail>
Oakridge Lower Elementary School · doing business as

Authorized official

Jo Ann Paprocki
Billing Manager
(231) 733-6804

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073021754

Hackley Community Care Center Inc's National Provider Identifier is 1073021754, issued on Jan 17, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Muskegon, MI. The record was last updated on May 11, 2018.