HACKLEY HOSPITAL (NPI# 1831245992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831245992 |
| Entity Type | Organization |
| Organization Name | HACKLEY HOSPITAL |
| Other Organization Name | WOMEN'S CENTER CLINIC-LAKESHORE |
| Practice Address |
72 S State St Shelby MI 49455-1228 |
| Mailing Address |
6401 Prairie St Suite 2300 Muskegon MI 49444-7840 |
| Practice Telephone | 2318612156 |
| Mailing Telephone | 2317277944 |
| Mailing Fax Number | 2317247812 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARJORIE YOUNG (VP) |
| Authorized Official Telephone | 2317277951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WOMEN'S CENTER CLINIC-LAKESHORE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447602628 | Hackley Hospital | Clinic/Center | 5730 W Us Highway 10, Ludington, MI 49431-2452 | 2016-07-12 |
| 1689690125 | Hackley Hospital | Clinic/Center | 117 W Colby St, Whitehall, MI 49461-1014 | 2006-07-15 |
| 1679516207 | Hackley Hospital | Nursing Facility/Intermediate Care Facility | 3600 Fulton St E, Grand Rapids, MI 49546-1322 | 2006-06-13 |
| 1972891877 | Hackley Hospital | Clinic/Center | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2011-07-13 |
| 1992988562 | Hackley Hospital | Clinic/Center | 6401 Prairie St, Suite 1200, Muskegon, MI 49444-7840 | 2007-12-06 |
| 1083760128 | Hackley Hospital | Clinic/Center | 1000 E Paris Ave Se, Ste #260, Grand Rapids, MI 49546-3691 | 2007-01-25 |
| 1346256807 | Hackley Hospital | Clinic/Center | 6401 Prairie St, Suite 1200, Muskegon, MI 49444-7840 | 2006-08-01 |
| 1881610327 | Hackley Hospital | Clinic/Center | 1675 Leahy St, Suite 103, Muskegon, MI 49442-5500 | 2006-07-15 |
| 1497798029 | Hackley Hospital | Clinic/Center | 6401 Prairie St, Suite 1200, Muskegon, MI 49444-7840 | 2006-06-13 |
| 1013954478 | Hackley Hospital | Clinic/Center | 5969 Harvey St, Muskegon, MI 49444-8801 | 2006-06-02 |
| Street Address |
72 S STATE ST |
| City | SHELBY |
| State | MI |
| Zip Code | 49455-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508824277 | Shelby Emergency Services, LLC | Emergency Medicine | 72 S State St, Shelby, MI 49455-1228 | 2006-05-03 |
| 1558608240 | Anne Christine Barton | Registered Nurse | 72 S State St, Shelby, MI 49455-1228 | 2013-01-15 |
| 1346528460 | Emergency Health Partners-lakeshore, Plc | Emergency Medicine | 72 S State St, Shelby, MI 49455-1228 | 2011-07-22 |
| 1639266794 | Lakeshore Emergency Solutions, Pllc | Emergency Medicine | 72 S State St, Lakeshore Emergency Solutions, Pllc, Shelby, MI 49455-1228 | 2006-10-09 |
| 1144237066 | Kelly Delongpre | Emergency Medicine | 72 S State St, Shelby, MI 49455-1228 | 2006-08-02 |
| 1609808658 | Susan Bryan | Nurse Anesthetist, Certified Registered | 72 S State St, Shelby, MI 49455-1228 | 2006-07-07 |
| 1285662981 | Mercy Health Partners | General Acute Care Hospital | 72 S State St, Shelby, MI 49455-1228 | 2006-06-29 |
| 1447206313 | Christine Marie Arnold | Dietitian, Registered | 72 S State St, Shelby, MI 49455-1228 | 2006-05-25 |
| 1528011640 | Basilio Ledesma | Emergency Medicine | 72 S State St, Emergency Medicine, Shelby, MI 49455-1228 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013243369 | Rick R. Dayton, Dds PC | Dentist | 218 N. State St., Shelby, MI 49455 | 2009-10-21 |
| 1568499721 | Curtis G Glupker | Specialist | 71 Bevier Street, Shelby, MI 49455 | 2006-06-26 |
| 1780675579 | Julie A Shellhouse | Family Medicine | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1407033491 | Jennifer Lynn Flanery | Physician Assistant | 71 Bevier St, Shelby, MI 49455 | 2008-01-22 |
| 1053302810 | Loren S Reed | Surgery | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1356367783 | Oceana Home Medical Equipment Plus | Durable Medical Equipment & Medical Supplies | 169 N Michigan Ave, Shelby, MI 49455-1024 | 2006-07-15 |
| 1215014311 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2006-11-01 |
| 1912943663 | Susan K Radtke | Nurse Practitioner | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-06-21 |
| 1912221771 | James W Pancy | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2010-03-23 |
| 1184840084 | Fred F Grice Jr. | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-18 |
| Find all providers in zip 49455 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962410894 | Pinnacle Healthcare Resources | Clinic/Center | 419 Earl Rd, Shelby, NC 28150 | 2006-08-04 |
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| 1447883053 | Fenton Massage Company | Clinic/Center | 1250 N Leroy St, Fenton, MI 48430-2760 | 2020-02-21 |
| 1275097487 | Harmony Family Center LLC | Clinic/Center | 50 Filer St Ste 324, Manistee, MI 49660-2727 | 2019-01-22 |
| 1619477866 | Nichole Sandoval | Clinic/Center | 1427 Pingree Ave, Lincoln Park, MI 48146-2094 | 2018-02-14 |
| 1457867574 | Physicians Technology, LLC | Clinic/Center | 23 E Front St Ste 200, Monroe, MI 48161-2210 | 2017-12-27 |
| 1497264022 | Vietmdnet | Clinic/Center | 10948 Thornberry Way, Zeeland, MI 49464-7905 | 2017-09-27 |
| 1033634688 | In His Hands Family Chiropractic, Pllc | Clinic/Center | 5236 Dumond Ct, Lansing, MI 48917-6001 | 2017-08-04 |
| 1063952166 | On-demand Scanning LLC | Clinic/Center | 171 Blanche Dr, Troy, MI 48098-2934 | 2017-03-08 |
| 1982146098 | John Patrick Basler | Clinic/Center | 1006 19th St, Bay City, MI 48708-7348 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
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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.