Organization · Type 2 NPI
Hackley Community Care Center, Inc
Federally Qualified Health Center (FQHC) · Ravenna, MI
NPI number
1245814946
Active
Practice location
2700 S Ravenna Rd Rm A101
Ravenna, MI 49451-9193
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
About NPI 1245814946
Hackley Community Care Center, Inc's National Provider Identifier is 1245814946, issued on May 9, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ravenna, MI. The record was last updated on May 9, 2021.