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2700 Baker St Fl 3 Muskegon MI 49444-2157 | |
(231) 737-1335 | |
(231) 737-0534 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2700 Baker St Fl 3, Muskegon, Michigan |
Authorized Official Name and Position | Wayne Kohn (CMP) |
Authorized Official Contact | 2317371335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2700 Baker St Fl 3 Muskegon MI 49444-2157 Ph: (231) 737-1335 | 2700 Baker St Fl 3 Muskegon MI 49444-2157 Ph: (231) 737-1335 |
NPI Number | 1194175612 |
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Provider Enumeration Date | 06/15/2016 |
Last Update Date | 06/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194175612 | NPI | - | NPPES |
1629066238 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hackley Community Care Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E Laketon Ave Ste A, Muskegon, MI 49441 Phone: 231-737-1335 | |
Hpcn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 986 W Norton Ave, Muskegon, MI 49441 Phone: 231-737-2194 Fax: 231-737-4524 | |