Organization · Type 2 NPI

Hackley Community Care Center Inc

Federally Qualified Health Center (FQHC) · Muskegon, MI

NPI number 1194175612 Active

Practice location

2700 Baker St Fl 3
Muskegon, MI 49444-2157

Call (231) 737-1335 Map

Fax (231) 737-0534

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1194175612

Hackley Community Care Center Inc's National Provider Identifier is 1194175612, issued on Jun 15, 2016. 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 Jun 15, 2016.