Basic Information
| Provider Information | |||||||||
| NPI: | 1841844016 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HACKLEY COMMUNITY CARE CENTER INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2700 BAKER ST FL 3 | ||||||||
| Address2: | |||||||||
| City: | MUSKEGON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494442157 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2317371335 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6477 SYERS RD | ||||||||
| Address2: | |||||||||
| City: | HOLTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494257508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2317336820 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2019 | ||||||||
| LastUpdateDate: | 07/26/2019 | ||||||||
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| AuthorizedOfficialLastName: | KOESTNER | ||||||||
| AuthorizedOfficialFirstName: | DANIELLE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CMO | ||||||||
| AuthorizedOfficialTelephone: | 2317371335 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QF0400X | Y | Ambulatory Health Care Facilities | Clinic/Center | Federally Qualified Health Center (FQHC) |
ID Information
| ID | Type | State | Issuer | Description | 1629066238 | 05 | MI | MEDICAID |