Hackley Community Care Center Inc | |
1675 Leahy St Ste 103 Muskegon MI 49442-5538 | |
(231) 733-6901 | |
Not Available |
Full Name | Hackley Community Care Center Inc |
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Speciality | Clinic/Center |
Location | 1675 Leahy St Ste 103, Muskegon, Michigan |
Authorized Official Name and Position | Wayne Kohn (CMO) |
Authorized Official Contact | 2317371335 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hackley Community Care Center Inc 2700 Baker St Fl 3 Muskegon MI 49444-2157 Ph: (231) 737-1335 | Hackley Community Care Center Inc 1675 Leahy St Ste 103 Muskegon MI 49442-5538 Ph: (231) 733-6901 |
NPI Number | 1427437326 |
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Provider Enumeration Date | 05/26/2015 |
Last Update Date | 06/30/2015 |
Medicare PECOS PAC ID | 8123015492 |
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Medicare Enrollment ID | O20130806000409 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427437326 | NPI | - | NPPES |
1427437326 | Other | NPI |
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