Organization · Type 2 NPI
Hackley Community Care Center Inc
Federally Qualified Health Center (FQHC) · Fruitport, MI
NPI number
1386298552
Active
Practice location
3255 Pontaluna Rd
Fruitport, MI 49415-9600
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...
2 other providers at this address
Other federally qualified health center (fqhc) providers in Fruitport
About NPI 1386298552
Hackley Community Care Center Inc's National Provider Identifier is 1386298552, issued on Jul 26, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Fruitport, MI. The record was last updated on Jul 26, 2019.