Organization · Type 2 NPI

Hackley Community Care Center Inc

Federally Qualified Health Center (FQHC) · Muskegon, MI

NPI number 1194379172 Active

Practice location

35 S Sheridan Dr
Muskegon, MI 49442-1440

Call (231) 733-6790 Map

Mailing address

2700 Baker St Fl 3
Muskegon, MI 49444-2157

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

Another provider at this address

Joanne Warren, LMSWSocial Worker Muskegon, MI NPI 1356059497

Other federally qualified health center (fqhc) providers in Muskegon

See all in Muskegon →

NPI record

NPI: 1194379172
Entity type: Organization (Type 2)
Issued: Jul 29, 2019
Last updated: Jul 31, 2019
Status: Active

Other names

<unavail>
Orchard View Middle School · doing business as
Orchard View Middle School · doing business as

Authorized official

Danielle Koestner, DO
CMO
(231) 737-1335

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.

Is this your record? How to update it.

About NPI 1194379172

Hackley Community Care Center Inc's National Provider Identifier is 1194379172, issued on Jul 29, 2019. 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 Jul 31, 2019.