Organization · Type 2 NPI

Hackley Community Care Center Inc

Federally Qualified Health Center (FQHC) · Muskegon, MI

NPI number 1356720262 Active

Practice location

376 E Apple Ave
Muskegon, MI 49442-3466

Mailing address

2700 Baker St Fl 3
Muskegon, MI 49444-2157

Specialties and licenses

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

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About NPI 1356720262

Hackley Community Care Center Inc's National Provider Identifier is 1356720262, issued on May 26, 2015. 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 26, 2015.