Hackley Community Care Center Inc
LBN: Hackley Community Care Center Inc
Hackley Community Care Center Inc is an health care organization with primary practice located at 2700 Baker St Fl 3 , Muskegon MI 49444-2157. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, 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) 737-1335, or through Kohn, Wayne via phone (231) 737-1335.
Contact Information
Primary practice address
2700 Baker St Fl 3
Muskegon MI 49444-2157
Phone: (231) 737-1335
Fax: (231) 737-0534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Michigan |
Profile Details
| NPI number | 1255669818 |
|---|---|
| LBN Legal business name | Hackley Community Care Center Inc |
| DBA Doing business as | |
| Authorized official | Kohn, Wayne Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 19th, 2009 |
| Last updated | Jun 9th, 2011 - about 14 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 | 1255669818 | NPPES |
| Michigan | Other | 1629066238 | GROUP NPI |
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