MUSKEGON COVENANT ACADEMY
NPI 1063891968
Clinic/Center - Federally Qualified Health Center (FQHC) in Muskegon, MI

Active since May 26, 2015
125 CATHERINE AVE, MUSKEGON, MI 49442(231) 733-6703 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Muskegon Covenant Academy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUSKEGON COVENANT ACADEMY (NPI 1063891968) is a healthcare organization registered as a federally qualified health center (fqhc) in Muskegon, Michigan and active in the NPI registry since May 2015. The organization lists Wayne Kohn, Cmo, as its authorized official.

NPPES Registry Identity

NPI1063891968
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHACKLEY COMMUNITY CARE CENTER INC
Location Address125 CATHERINE AVEMuskegon, MI 49442-3331
Mailing Address2700 Baker St Fl 3Muskegon, MI 49444-2157 · (231) 737-1335
Organization SubpartNo
Authorized OfficialWayne KohnCmo · (231) 737-1335
Enumeration DateMay 26, 2015
Last NPPES UpdateJune 30, 2015
NPI 1063891968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
125 CATHERINE AVE, Muskegon, MI 49442

Other Names 1

Doing Business AsMuskegon Covenant Academy

Other Identifiers 2

Medicare OSCAR/certification231054MI
Other1063891968MI · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
125 CATHERINE AVE
MUSKEGON, MI 49442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hackley Community Care Center Inc's NPI number?

The NPI number for Hackley Community Care Center Inc is 1063891968. It was assigned to this organization in the NPPES registry on May 26, 2015. The provider is doing business as Muskegon Covenant Academy.

Where is Hackley Community Care Center Inc located?

Hackley Community Care Center Inc is located at 125 Catherine Ave, Muskegon, MI 49442. The listed phone number is (231) 733-6703.

What is Hackley Community Care Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Hackley Community Care Center Inc was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.