Oakridge Upper Elementary School

LBN: Hackley Community Care Center Inc
Oakridge Upper Elementary School is an health care organization with primary practice located at 481 S Wolf Lake Rd Ste A , Muskegon MI 49442-3033. The organization recently has 2 registered licenses in different health care specialties including 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) 788-7500, or through Paprocki, Jo Ann via phone (231) 733-6804.

Contact Information

Primary practice address
481 S Wolf Lake Rd Ste A Muskegon MI 49442-3033
Phone: (231) 788-7500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Paprocki, Jo Ann
Phone: (231) 733-6804

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1619485398
LBN Legal business name Hackley Community Care Center Inc
DBA Doing business as Oakridge Upper Elementary School
Authorized official Paprocki, Jo Ann
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 17th, 2018
Last updated May 11th, 2018 - about 6 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 1619485398 NPPES
Michigan MEDICAID 1629066238

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