HACKLEY COMMUNITY CARE CENTER INC
NPI 1508245408
Clinic/Center - Federally Qualified Health Center (FQHC) in Muskegon, MI

Active since May 26, 2015
80 W SOUTHERN AVE, MUSKEGON, MI 49441(231) 733-6680 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 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 1508245408) 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

NPI1508245408
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHACKLEY COMMUNITY CARE CENTER INC
Location Address80 W SOUTHERN AVEMuskegon, MI 49441-2541
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 UpdateFebruary 13, 2018
NPI 1508245408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedFamily MedicineTaxonomy 207Q00000X
80 W SOUTHERN AVE, Muskegon, MI 49441

Other Identifiers 1

Other1508245408MI · 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 2

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

Dental Hygienist
80 W SOUTHERN AVE
MUSKEGON, MI 49441
Specialist/Technologist (Athletic Trainer)
80 W SOUTHERN AVE
MUSKEGON, MI 49441

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 1508245408. It was assigned to this organization in the NPPES registry on May 26, 2015.

Where is Hackley Community Care Center Inc located?

Hackley Community Care Center Inc is located at 80 W Southern Ave, Muskegon, MI 49441. The listed phone number is (231) 733-6680.

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 February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.