Muskegon Covenant Academy
LBN: Hackley Community Care Center Inc
Muskegon Covenant Academy is an health care organization with primary practice located at 125 Catherine Ave , Muskegon MI 49442-3331. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Hackley Community Care Center Inc can be contacted via phone (231) 733-6703, or through Kohn, Wayne via phone (231) 737-1335.
Contact Information
Primary practice address
125 Catherine Ave
Muskegon MI 49442-3331
Phone: (231) 733-6703
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1063891968 |
|---|---|
| LBN Legal business name | Hackley Community Care Center Inc |
| DBA Doing business as | Muskegon Covenant Academy |
| Authorized official | Kohn, Wayne Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2015 |
| Last updated | Jun 30th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063891968 | NPPES |
| Michigan | Other | 1063891968 | NPI |
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