Hackley Community Care Center INC

NPI #1386298552 in Fruitport, Michigan

Provider Information

NPI Number
1386298552
Entity Type
Organization
Organization Name
Hackley Community Care Center INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 26, 2019
Last Updated
Jul 26, 2019

Practice Location

Address
3255 PONTALUNA RD
ZIP Code
49415-9600
Phone
(231) 733-6720

Authorized Official

Name
DANIELLE KOESTNER, DO
Title
CMO
Phone
(231) 737-1335

Specialties & Taxonomy Codes

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

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