HACKLEY HOSPITAL FISCAL SERVICES (NPI# 1114973500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114973500 |
| Entity Type | Organization |
| Organization Name | HACKLEY HOSPITAL FISCAL SERVICES |
| Other Organization Name | HACKLEY NUTRITIONAL THERAPY |
| Practice Address |
5969 Harvey St Suite B Muskegon MI 49444-8801 |
| Mailing Address |
Po Box 1177 Muskegon MI 49443-1177 |
| Practice Telephone | 2317980369 |
| Mailing Telephone | 2317274444 |
| Mailing Fax Number | 2317274451 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-01-19 |
| Authorized Official Name | MICHELLE LOHMAN (DIR PHY NETWORK FINAN SERVI) |
| Authorized Official Telephone | 2317274499 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| HACKLEY NUTRITIONAL THERAPY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922285899 | Hackley Hospital Fiscal Services | Clinic/Center | 1700 Clinton St, Muskegon, MI 49442-5502 | 2008-01-23 |
| 1518900455 | Hackley Hospital Fiscal Services | Clinic/Center | 6401 Prairie St, Suite 2300, Muskegon, MI 49444 | 2006-06-14 |
| 1215970678 | Hackley Hospital Fiscal Services | Clinic/Center | 6401 Prairie St, Ste 2300, Muskegon, MI 49444-7840 | 2006-06-14 |
| 1285677666 | Hackley Hospital Fiscal Services | Social Worker | 1700 Clinton St, Muskegon, MI 49442-5502 | 2006-06-14 |
| 1063455517 | Hackley Hospital Fiscal Services | Clinic/Center | 1700 Clinton St, Muskegon, MI 49442-5502 | 2006-06-13 |
| 1073556569 | Hackley Hospital Fiscal Services | Clinic/Center | 1700 Clinton St, Muskegon, MI 49442-5502 | 2006-06-13 |
| 1831138411 | Hackley Hospital Fiscal Services | Clinic/Center | 1700 Clinton St, Muskegon, MI 49442-5502 | 2006-06-06 |
| 1841242492 | Hackley Hospital Fiscal Services | Internal Medicine | 1700 Clinton St, Muskegon, MI 49442-5502 | 2006-05-16 |
| Street Address |
5969 HARVEY ST SUITE B |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-8801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619120573 | Hpcn | Internal Medicine | 5969 Harvey St, Suite 200, Muskegon, MI 49444-8801 | 2008-10-23 |
| 1285823849 | Luanne Marie Kraus | Nurse Practitioner | 5969 Harvey St, Suite B, Muskegon, MI 49444-8801 | 2007-10-19 |
| 1013954478 | Hackley Hospital | Clinic/Center | 5969 Harvey St, Muskegon, MI 49444-8801 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983120 | Kailee Conrad | Dietitian, Registered | 481 Shoreline Dr, Muskegon, MI 49440-1115 | 2018-12-16 |
| 1679705222 | Leah Marie Houle | Dietitian, Registered | 433 Seminole Rd Ste 204, Muskegon, MI 49444-3743 | 2009-08-17 |
| 1063468775 | Julie Marie Husmann | Dietitian, Registered | 1760 Peck St, Muskegon, MI 49441-2533 | 2006-05-25 |
| 1649554056 | Emilie D Klop | Dietitian, Registered | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2011-10-04 |
| 1093045858 | West Michigan Mnt,llc | Dietitian, Registered | 433 Seminole Rd Ste 204, Muskegon, MI 49444-3743 | 2009-12-30 |
| 1386897411 | Lisa M Freye | Dietitian, Registered | 1700 Clinton St, Muskegon, MI 49442-5502 | 2008-11-03 |
| 1093966970 | Kristin Elizabeth Baird | Dietitian, Registered | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2008-10-09 |
| 1205087111 | Kristen Ballou | Dietitian, Registered | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2008-10-09 |
| 1578714416 | Michelle M Huebler | Dietitian, Registered | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2008-10-09 |
| 1659554996 | Jeanette Ila Waite | Dietitian, Registered | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2007-12-10 |
| Find all providers in MUSKEGON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.