HACKLEY HEALTHCARE EQUIPMENT (NPI# 1568885895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568885895 |
| Entity Type | Organization |
| Organization Name | HACKLEY HEALTHCARE EQUIPMENT |
| Other Organization Name | MERCY HEALTH HEALTHCARE EQUIPMENT |
| Practice Address |
1700 Oak Ave 2nd Floor Muskegon MI 49442-2407 |
| Mailing Address |
1124 E Hackley Ave Muskegon MI 49444-1874 |
| Practice Telephone | 2316723983 |
| Practice Fax Number | 2316723960 |
| Mailing Telephone | 2316724711 |
| Mailing Fax Number | 2317222625 |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. JOHN M BRYAN JR. (CEO) |
| Authorized Official Telephone | 2318613030 |
| Is Organization Subpart | Y |
| Parent Organization Name | HACKLEY HEALTH VENTURES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
========= | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| Mercy Health Healthcare Equipment | 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 |
| 1700208444 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2014-01-15 |
| 1508970104 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 6401 Prairie St, Suite 1100, Muskegon, MI 49444-7840 | 2006-08-19 |
| Street Address |
1700 OAK AVE 2ND FLOOR |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49442-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504959 | Robert Leslie Eichelberger | Physician Assistant | 1700 Oak Ave, Suite 400, Muskegon, MI 49442-2407 | 2005-08-02 |
| 1972153104 | Cymber Stroven | Nurse Practitioner | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2019-09-19 |
| 1154870087 | Bryan Cole Hunter | Nurse Practitioner | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2016-10-04 |
| 1144636960 | Nicole M Lundy | Emergency Medicine | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2014-07-02 |
| 1952630436 | Kenneth Richard Almas | Physician Assistant | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2009-12-14 |
| 1750512133 | Kirsten J Sjostrand | Student in an Organized Health Care Education/Training Program | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2009-08-03 |
| 1497983159 | Ronald A Stratton | Family Medicine | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2009-07-01 |
| 1497919286 | Pedro Julio Mejia Garagorry | Internal Medicine | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2008-07-11 |
| 1982887865 | Mercy Urgent Care | Emergency Medicine | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2007-12-13 |
| 1598964447 | Justin Edward Grill | Emergency Medicine | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2007-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
| 1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
| 1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
| 1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
| 1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
| 1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
| 1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
| 1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
| 1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
| 1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
| Find all providers in zip 49442 | ||||
| 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 |
| 1508970104 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 6401 Prairie St, Suite 1100, Muskegon, MI 49444-7840 | 2006-08-19 |
| 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.