HACKLEY COMMUNITY CARE CENTER INC


Address: 2441 Sanford St, Muskegon, MI 49444-1438
Phone: 2317336709

HACKLEY COMMUNITY CARE CENTER INC (NPI# 1699154591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699154591
Entity Type Organization
Organization Name HACKLEY COMMUNITY CARE CENTER INC
Other Organization Name MUSKEGON HEIGHTS PUBLIC SCHOOL ACADEMY
Practice Address 2441 Sanford St
Muskegon
MI 49444-1438
Mailing Address 2700 Baker St Fl 3
Muskegon
MI 49444-2157
Practice Telephone 2317336709
Mailing Telephone 2317371335
Enumeration Date 2015-05-26
Last Update Date 2015-06-30
Authorized Official Name WAYNE KOHN (CMO)
Authorized Official Telephone 2317371335
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI NPI 1699154591 01

Other Provider/Organization Names

Other Name Type Code
Muskegon Heights Public School Academy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427658244 Hackley Community Care Center Inc Clinic/Center 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 2020-10-30
1760080972 Hackley Community Care Center Inc Clinic/Center 1420 Madison St Ste A, Muskegon, MI 49442-5251 2020-10-12
1922613975 Hackley Community Care Center Inc Clinic/Center 6245 Syers Rd Ste A, Holton, MI 49425-7557 2020-09-15
1598319915 Hackley Community Care Center Inc Clinic/Center 2312 Denmark St, Muskegon, MI 49441-1479 2019-07-25
1619485398 Hackley Community Care Center Inc Family Medicine 481 S Wolf Lake Rd Ste A, Muskegon, MI 49442-3033 2018-01-17
1962881862 Hackley Community Care Center Inc Counselor 1150 Amity Ave, Muskegon, MI 49442-3713 2015-05-26
1881073781 Hackley Community Care Center Inc Counselor 480 Bennett St, Muskegon, MI 49442-2133 2015-05-26
1063891968 Hackley Community Care Center Inc Counselor 125 Catherine Ave, Muskegon, MI 49442-3331 2015-05-26
1508245408 Hackley Community Care Center Inc Counselor 80 W Southern Ave, Muskegon, MI 49441-2541 2015-05-26
1699154500 Hackley Community Care Center Inc Counselor 251 S Wolf Lake Rd, Muskegon, MI 49442-3029 2015-05-26

Office Location

Street Address 2441 SANFORD ST
City MUSKEGON
State MI
Zip Code 49444-1438

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760080972 Hackley Community Care Center Inc Clinic/Center 1420 Madison St Ste A, Muskegon, MI 49442-5251 2020-10-12
1598319915 Hackley Community Care Center Inc Clinic/Center 2312 Denmark St, Muskegon, MI 49441-1479 2019-07-25
1255331583 Mgh Family Health Center Clinic/Center 2201 S Getty St, Muskegon, MI 49444-1207 2005-07-28
1912506635 Hackley Community Care Center Inc Clinic/Center 2700 Baker St Fl 3, Muskegon, MI 49444-2157 2020-10-23
1194379172 Hackley Community Care Center Inc Clinic/Center 35 S Sheridan Dr, Muskegon, MI 49442-1440 2019-07-29
1346600905 Cherry Street Services Inc Clinic/Center 1611 Oak Ave, Muskegon, MI 49442-2468 2016-02-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427658244 Hackley Community Care Center Inc Clinic/Center 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 2020-10-30
1831706993 Family Medical Center of Michigan, Inc Clinic/Center 503 Washington St Rm 150, Monroe, MI 48161-1309 2020-09-23
1326654666 Family Medical Center of Michigan,inc Clinic/Center 550 E Main St Ste 1001, Hudson, MI 49247-9535 2020-09-22
1922613975 Hackley Community Care Center Inc Clinic/Center 6245 Syers Rd Ste A, Holton, MI 49425-7557 2020-09-15
1700400389 Northwest Michigan Health Services, Inc. Clinic/Center 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 2020-05-30
1679195721 Family Medical Center of Michigan,inc Clinic/Center 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 2020-05-12
1235750571 Great Lakes Bay Health Centers Clinic/Center 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 2020-04-28
1053948265 Upper Great Lakes Family Health Center Clinic/Center 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 2020-03-26
1568096923 Grace Health, Inc. Clinic/Center 825 Capital Ave Ne, Battle Creek, MI 49017-5605 2020-02-25
1336779131 Northwest Michigan Health Services Inc. Clinic/Center 512 Bryant Ave., Room 23, Manistee, MI 49660-1839 2020-01-21
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Competitor

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City MUSKEGON
Zip Code 49444

Improve Information

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Dataset Information

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.

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