<Unavail>

LBN: Hackley Community Care Center Inc
<Unavail> is an health care organization with primary practice located at 2700 Baker St Fl 3 , Muskegon MI 49444-2157. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Hackley Community Care Center Inc can be contacted via phone (231) 737-1335, or through Kohn, Wayne via phone (231) 737-1335.

Contact Information

Primary practice address
2700 Baker St Fl 3 Muskegon MI 49444-2157
Phone: (231) 737-1335
Fax: (231) 737-0534
Website:
Map and Directions
Authorized official contact:
Name: Kohn, Wayne Doctor of Osteopathy (DO)
Phone: (231) 737-1335

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1194175612
LBN Legal business name Hackley Community Care Center Inc
DBA Doing business as <Unavail>
Authorized official Kohn, Wayne Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2016
Last updated Jun 15th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194175612 NPPES
Michigan MEDICAID 1629066238

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