Hackley Community Care Center INC

NPI #1063891968 in Muskegon, Michigan

Provider Information

NPI Number: 1063891968
Entity Type: Organization
Organization Name: Hackley Community Care Center INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: May 26, 2015
Last Updated: Jun 30, 2015

Practice Location

Address: 125 CATHERINE AVE
City: Muskegon
State: Michigan
ZIP Code: 49442-3331
Phone: (231) 733-6703

Authorized Official

Name: WAYNE KOHN, DO
Title: CMO
Phone: (231) 737-1335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

Similar Providers

Provider Name	Specialty	City
Hackley Community Care Center, INC	Clinic/Center - Federally Qualified Health Center (FQHC)	Muskegon	AI Deep Dive
Hackley Community Care Center INC Part of Hackley Community Care Center INC	Clinic/Center - Federally Qualified Health Center (FQHC)	Muskegon	AI Deep Dive
Hackley Community Care Center INC	Clinic/Center - Federally Qualified Health Center (FQHC)	Muskegon	AI Deep Dive
Hackley Community Care Center INC	Clinic/Center - Federally Qualified Health Center (FQHC)	Muskegon	AI Deep Dive
Hackley Community Care Center, INC	Clinic/Center - Federally Qualified Health Center (FQHC)	Muskegon	AI Deep Dive

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