Organization · Type 2 NPI

Hackley Community Care Center Inc

Federally Qualified Health Center (FQHC) · Muskegon, MI

NPI number 1629066238 Active

Practice location

2700 Baker St, 3rd Floor
Muskegon, MI 49444-2157

Fax (231) 737-0534

Specialties and licenses

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

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

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About NPI 1629066238

Hackley Community Care Center Inc's National Provider Identifier is 1629066238, issued on Oct 7, 2005. 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 Nov 24, 2010.