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HACKLEY COMMUNITY CARE CENTER INC
NPI 1255669818
Clinic/Center - Federally Qualified Health Center (FQHC) in Muskegon, MI

Active since November 19, 2009
2700 BAKER ST FL 3, MUSKEGON, MI 49444(231) 737-1335(231) 737-0534 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hackley Community Care Center Inc NPPES

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

HACKLEY COMMUNITY CARE CENTER INC (NPI 1255669818) is a healthcare organization registered as a federally qualified health center (fqhc) in Muskegon, Michigan and active in the NPI registry since November 2009. The organization lists Wayne Kohn, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1255669818
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 KohnMedical Director · (231) 737-1335
Enumeration DateNovember 19, 2009
Last NPPES UpdateJune 9, 2011
✔ NPI 1255669818 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 ListedDentistTaxonomy 122300000X
2700 BAKER ST FL 3, Muskegon, MI 49444
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Other Identifiers 1

Other1629066238MI · Group 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 20

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

DIANE R KOPS RN
Registered Nurse
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 733-6607
NANCY J WELLER BSW
Social Worker
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 733-6607
KATHLEEN M BENTON RD
Dietitian, Registered
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 733-6607
PAMELA A HOWARD RN
Registered Nurse
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 733-6607
TESSA J HURT PA-C
Physician Assistant
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 737-1335
ALLISON A BUSH MS LLP
Psychologist
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 737-1335
HACKLEY COMMUNITY CARE CENTER INC
Family Medicine
2700 BAKER ST FL 3
MUSKEGON, MI 49444
Muskegon County (231) 737-1335
ANN MARIE WILSON LMSW
Social Worker (Clinical)
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 1255669818. It was assigned to this organization in the NPPES registry on November 19, 2009.

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 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.