Hackley Community Care Center INC

NPI #1629066238 in Muskegon, Michigan

Provider Information

NPI Number
1629066238
Entity Type
Organization
Organization Name
Hackley Community Care Center INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 7, 2005
Last Updated
Nov 24, 2010

Practice Location

Address
2700 BAKER ST
Address 2
3RD FLOOR
ZIP Code
49444-2157
Phone
(231) 737-1335

Authorized Official

Name
WAYNE H KOHN, DO
Title
MEDICAL DIRECTOR
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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