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Hackley Community Care Center INC

Clinic/Center, Federally Qualified Health Center (FQHC) in Muskegon, MI. Organization (NPI-2).

NPI number1699154591
StatusActive
Last updated in NPPESJun 30, 2015

Details

NPI
1699154591
Entity type
Organization (NPI-2)
Legal business name
Hackley Community Care Center INC
Organization subpart
No
Enumeration date
May 26, 2015
Last updated
Jun 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes
101YP2500X Counselor, Professional––

Other names

  • Muskegon Heights Public School Academy (Doing Business As)

Practice location

2441 Sanford St
Muskegon, MI 49444-1438

Phone 231-733-6709

Mailing address

2700 Baker St Fl 3
Muskegon, MI 49444-2157

Phone 231-737-1335

Authorized official

Wayne Kohn
Cmo
2317371335

Is something wrong?

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Other Federally Qualified Health Center (FQHC) providers in Muskegon, MI

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