Organization · Type 2 NPI
Hackley Community Care Center Inc
Federally Qualified Health Center (FQHC) · Fruitport, MI
NPI number
1427658244
Active
Practice location
3113 Pontaluna Rd Ste A
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...
Other federally qualified health center (fqhc) providers in Fruitport
About NPI 1427658244
Hackley Community Care Center Inc's National Provider Identifier is 1427658244, issued on Oct 30, 2020. 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 Oct 30, 2020.