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HACKLEY COMMUNITY CARE CENTER INC
NPI 1629066238
Clinic/Center - Federally Qualified Health Center (FQHC) in Muskegon, MI

Active since October 07, 2005
2700 BAKER ST, 3RD FLOOR, MUSKEGON, MI 49444(231) 737-1335(231) 737-0534 Get Directions Write a Review

NPPES record last updated: November 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 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 1629066238) is a healthcare organization registered as a federally qualified health center (fqhc) in Muskegon, Michigan and active in the NPI registry since October 2005. The organization lists Wayne H Kohn, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1629066238
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHACKLEY COMMUNITY CARE CENTER INC
Location Address2700 BAKER ST, 3RD FLOORMuskegon, MI 49444-2157
Mailing Address2700 Baker St, 3rd FloorMuskegon, MI 49444-2157 · (231) 737-1335 · Fax (231) 737-0534
Phone(231) 737-1335
Fax(231) 737-0534
Organization SubpartNo
Authorized OfficialWayne H KohnMedical Director · (231) 737-1335
Enumeration DateOctober 7, 2005
Last NPPES UpdateNovember 24, 2010
✔ NPI 1629066238 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, Muskegon, MI 49444
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Other Identifiers 2

Medicare ID-Type Unspecified0M15940MI
Medicare OSCAR/certification231858MI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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. RANDOLPH ROBERT MOELLER DDS
Dentist (General Practice)
2700 BAKER ST
MUSKEGON HEIGHTS, MI 49444
Muskegon County (231) 737-8603
JEAN WILLIAMS
Dental Hygienist
2700 BAKER ST
MUSKEGON HEIGHTS, MI 49444
Muskegon County (231) 737-1335
HACKLEY COMMUNITY CARE CENTER, INC
Pharmacy (Community/Retail Pharmacy)
2700 BAKER ST
MUSKEGON, MI 49444
Muskegon County (231) 737-9510
ALICIA MARVIN
Community Health Worker
2700 BAKER ST
MUSKEGON, MI 49444
Muskegon County (231) 737-1335
HACKLEY PHARMACY MUSKEGON HTS
Pharmacy
2700 BAKER ST, ROBERT A WARREN BLDG
MUSKEGON HEIGHTS, MI 49444
Muskegon County (231) 737-9510
MRS. KRYSTIN JANINE WHITFORD D.M.D.
Dentist (General Practice)
2700 BAKER ST
MUSKEGON HEIGHTS, MI 49444
Muskegon County (231) 737-8603
YESSICA ESCUTIA PONCE DE LEON DDS
Dentist (Dental Public Health)
2700 BAKER ST
MUSKEGON, MI 49444
Muskegon County (231) 737-8603
MARILYNN POST RDH
Dental Hygienist
2700 BAKER ST
MUSKEGON HEIGHTS, MI 49444
Muskegon County (231) 737-8603

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 1629066238. It was assigned to this organization in the NPPES registry on October 7, 2005.

Where is Hackley Community Care Center Inc located?

Hackley Community Care Center Inc is located at 2700 Baker St 3rd Floor, 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.

What insurance does Hackley Community Care Center Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Hackley Community Care Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hackley Community Care Center Inc was last updated on November 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.