HACKLEY HEALTHCARE EQUIPMENT (NPI# 1508970104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508970104 |
| Entity Type | Organization |
| Organization Name | HACKLEY HEALTHCARE EQUIPMENT |
| Other Organization Name | HACKLEY HEALTHCARE EQUIPMENT & PHARMACY |
| Practice Address |
6401 Prairie St Suite 1100 Muskegon MI 49444-7840 |
| Practice Telephone | 2317272966 |
| Practice Fax Number | 2317277964 |
| Mailing Telephone | 2317272966 |
| Mailing Fax Number | 2317277964 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAY M. BRYAN (CEO) |
| Authorized Official Telephone | 2317284634 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008308 | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| Hackley Healthcare Equipment & Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356764674 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2014-01-22 |
| 1568885895 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 1700 Oak Ave, 2nd Floor, Muskegon, MI 49442-2407 | 2014-01-22 |
| 1700208444 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2014-01-15 |
| Street Address |
6401 PRAIRIE ST SUITE 1100 |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-7840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425567 | David A Vanwinkle | Family Medicine | 6401 Prairie St, Suite 1600, Muskegon, MI 49444-7840 | 2005-05-31 |
| 1548570062 | Lakes Obgyn Specialist | Physician Assistant | 6401 Prairie St, Suite 2100, Muskegon, MI 49444-7840 | 2010-10-18 |
| 1992988562 | Hackley Hospital | Clinic/Center | 6401 Prairie St, Suite 1200, Muskegon, MI 49444-7840 | 2007-12-06 |
| 1487727277 | Hpcn | Family Medicine | 6401 Prairie St, Suite 1600, Muskegon, MI 49444-7840 | 2006-11-17 |
| 1770673741 | Hpcn | Internal Medicine | 6401 Prairie St, Suite 2800, Muskegon, MI 49444-7840 | 2006-10-13 |
| 1366538860 | Kristina R Vandermark | Obstetrics & Gynecology | 6401 Prairie St, Suite 2100, Muskegon, MI 49444-7840 | 2006-10-04 |
| 1477655330 | Martha F Halub | Physician Assistant | 6401 Prairie St, Suite 2100, Muskegon, MI 49444-7840 | 2006-09-02 |
| 1346256807 | Hackley Hospital | Clinic/Center | 6401 Prairie St, Suite 1200, Muskegon, MI 49444-7840 | 2006-08-01 |
| 1902810740 | Hpcn | Obstetrics & Gynecology | 6401 Prairie St, 2100, Muskegon, MI 49444-7840 | 2006-07-28 |
| 1457383937 | Surgical Specialist of W Michigan | Surgery | 6401 Prairie St, Suite 1700, Muskegon, MI 49444-7840 | 2006-07-07 |
| Find all providers in the same location | ||||
| 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 | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215062856 | Care Source, Inc | Durable Medical Equipment & Medical Supplies | 1921 E Apple Ave, Suite C, Muskegon, MI 49442-4478 | 2007-02-23 |
| 1568885895 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 1700 Oak Ave, 2nd Floor, Muskegon, MI 49442-2407 | 2014-01-22 |
| 1821075136 | Mercy Health Partners | Durable Medical Equipment & Medical Supplies | 1150 E Sherman Blvd, Ste 1300, Muskegon, MI 49444-1870 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1669084174 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 2675 44th St Sw Ste 208, Wyoming, MI 49519-6834 | 2020-08-18 |
| 1215549720 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 44201 Dequindre Rd Ste 222, Troy, MI 48085-1117 | 2020-08-18 |
| 1700407368 | Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 11930 Whitmore Lake Rd Ste C, Whitmore Lake, MI 48189-9153 | 2020-05-05 |
| 1245860899 | American Home Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 24782 Forterra Dr, Warren, MI 48089-4375 | 2020-01-23 |
| 1720623804 | Air-caire Home Medical Equipment and Supplies Inc | Durable Medical Equipment & Medical Supplies | 3554 Alpine Ave Nw, Grand Rapids, MI 49544-1659 | 2019-11-12 |
| 1285118976 | Compass Medical Equipment | Durable Medical Equipment & Medical Supplies | 28035 Southfield Rd Ste 104, Lathrup Village, MI 48076-2858 | 2018-09-19 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1588162168 | Valerie Bzeih Iatrics Medical Supplies and Equipment | Durable Medical Equipment & Medical Supplies | 7243 Reuter St, Dearborn, MI 48126-1545 | 2018-01-29 |
| 1649798901 | Patient Choice Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2075 Fort St Ste 101a, Lincoln Park, MI 48146-2191 | 2017-09-06 |
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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.