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MIHP HACKLEY COMMUNITY CARE CENTER INC
NPI 1194175612
Clinic/Center - Federally Qualified Health Center (FQHC) in Muskegon, MI

Active since June 15, 2016
2700 BAKER ST FL 3, MUSKEGON, MI 49444(231) 737-1335(231) 737-0534 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mihp Hackley Community Care Center Inc NPPES

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

MIHP HACKLEY COMMUNITY CARE CENTER INC (NPI 1194175612) is a healthcare organization registered as a federally qualified health center (fqhc) in Muskegon, Michigan and active in the NPI registry since June 2016. The organization lists Wayne Kohn, Cmp, as its authorized official.

NPPES Registry Identity

NPI1194175612
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHACKLEY COMMUNITY CARE CENTER INC
Location Address2700 BAKER ST FL 3Muskegon, MI 49444-2157
Mailing Address2700 Baker St Fl 3Muskegon, MI 49444-2157 · (231) 737-1335 · Fax (231) 737-0534
Phone(231) 737-1335
Fax(231) 737-0534
Organization SubpartNo
Authorized OfficialWayne KohnCmp · (231) 737-1335
Enumeration DateJune 15, 2016
✔ NPI 1194175612 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 ListedFamily MedicineTaxonomy 207Q00000X
2700 BAKER ST FL 3, Muskegon, MI 49444
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Other Names 1

Doing Business AsMihp Hackley Community Care Center Inc

Other Identifiers 1

Medicaid1629066238MI

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 20

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

DR. KAREN A THORNBURG MD
Internal Medicine
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 737-1335
KIERRA JONES LLMS
Social Worker
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 737-1335
LESLIE N KINGSLEY D.O.
Family Medicine
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 737-1335
JACKIE HALLBERG LMSW
Social Worker (Clinical)
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 737-1335
DEBORAH DANCZ BSW
Community Health Worker
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 737-1335
ANNE CUNNINGHAM RDH
Dental Hygienist
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 737-1335
VALERIE ANN RICHMAN
Counselor
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 737-1335
JESSICA MORGAN LADD LLMSW
Social Worker
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 737-1335

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 1194175612. It was assigned to this organization in the NPPES registry on June 15, 2016. The provider is doing business as Mihp Hackley Community Care Center Inc.

Where is Hackley Community Care Center Inc located?

Hackley Community Care Center Inc is located at 2700 Baker St Fl 3, Muskegon, MI 49444. The listed phone number is (231) 737-1335.

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 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.