HACKLEY COMMUNITY CARE CENTER INC
NPI 1861758658
Family Medicine in Muskegon, MI

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since April 05, 2012

2700 BAKER ST FL 3, MUSKEGON, MI 49444(231) 737-1335(231) 737-0535 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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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 1861758658) is a healthcare organization registered as a family medicine in Muskegon, Michigan and active in the NPI registry since April 2012. The organization lists Wayne Kohn, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1861758658

Entity TypeOrganization

Primary Taxonomy207Q00000X

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) 737-0535

Phone(231) 737-1335

Fax(231) 737-0535

Organization SubpartNo

Authorized OfficialWayne KohnMedical Director · (231) 737-1335

Enumeration DateApril 5, 2012

✔ NPI 1861758658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedMidwifeTaxonomy 176B00000X

2700 BAKER ST FL 3, Muskegon, MI 49444

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Other Identifiers 1

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 23D2104292
Facility Type: Federally Qualified Health Center
Certificate Effective Date: November 02, 2023
Certificate Expiration Date: November 01, 2025
Laboratory Director: LESLIE N. KINGSLEY
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Hackley Community Care Center Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.