Organization · Type 2 NPI
Hackley Community Care Center Inc
Federally Qualified Health Center (FQHC) · Muskegon, MI
NPI number
1699154500
Active
Practice location
251 S Wolf Lake Rd
Muskegon, MI 49442-3029
Mailing address
2700 Baker St
Muskegon, MI 49444-2157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
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About NPI 1699154500
Hackley Community Care Center Inc's National Provider Identifier is 1699154500, 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 Nov 24, 2015.