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 1675 Leahy St Ste 103 , Muskegon MI 49442-5538. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Allopathic & Osteopathic Physicians / Family Medicine, 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) 733-6901, or through Kohn, Wayne via phone (231) 737-1335.

Contact Information

Primary practice address
1675 Leahy St Ste 103 Muskegon MI 49442-5538
Phone: (231) 733-6901
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kohn, Wayne Doctor of Osteopathy (DO)
Phone: (231) 737-1335

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1427437326
LBN Legal business name Hackley Community Care Center Inc
DBA Doing business as Hackley Community Care Center Inc
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427437326 NPPES
Other 1427437326 NPI

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