| Mihp Hackley Community Care Center Inc | |
|
2700 Baker St Fl 3 Muskegon MI 49444-2157 | |
| (231) 737-1335 | |
| (231) 737-0534 |
| Full Name | Mihp Hackley Community Care Center Inc |
|---|---|
| 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 |
|---|---|
| Mihp Hackley Community Care Center Inc 2700 Baker St Fl 3 Muskegon MI 49444-2157 Ph: (231) 737-1335 | Mihp Hackley Community Care Center Inc 2700 Baker St Fl 3 Muskegon MI 49444-2157 Ph: (231) 737-1335 |
| NPI Number | 1194175612 |
|---|---|
| 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 | |
Hackley Weight Management Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5969 Harvey St, Muskegon, MI 49444 Phone: 231-798-1662 Fax: 231-798-8262 | |
Mercy Physician Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2006 Holton Rd, Muskegon, MI 49445 Phone: 231-672-3333 | |
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 | |
Hackley Hosp Wound Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-728-5667 Fax: 231-728-5954 | |
Oakridge Lower Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N Park St Ste A, Muskegon, MI 49442 Phone: 231-788-7600 | |
Trinity Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1560 E Sherman Blvd Ste 250, Muskegon, MI 49444 Phone: 231-675-8145 Fax: 231-672-6179 |