Hackley Community Care Center INC

NPI #1194175612 in Muskegon, Michigan

Provider Information

NPI Number
1194175612
Entity Type
Organization
Organization Name
Hackley Community Care Center INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 15, 2016
Last Updated
Jun 15, 2016

Practice Location

Address
2700 BAKER ST FL 3
ZIP Code
49444-2157
Phone
(231) 737-1335

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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