NPI Registry.org

Hackley Community Care Center, Inc

NPI Registration Record

Provider / OrganizationNPIDate Certified
HACKLEY COMMUNITY CARE CENTER, INC14276321242021-05-09

The organization Hackley Community Care Center, Inc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1427632124. Registration indicates Hackley Community Care Center, Inc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Federally Qualified Health Center (FQHC),, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Clinic/Center Federally Qualified Health Center (FQHC),, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:
Entity TypeOrganization
Provider OrganizationHACKLEY COMMUNITY CARE CENTER, INC
Practice Office Address401 S ELIZABETH ST RM 11
WHITEHALL, MI US
Practice Office Telephone2317371335
Mailing Address2700 BAKER ST FL 3
MUSKEGON, MI 494442157 US
Authorized OfficialVALERIE BLONDIN, CFO
2317336657
HPT Codes
CodePractice
License No
State
261QF0400X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Federally Qualified Health Center (FQHC),

FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse

Clinic/Center Federally Qualified Health Center (FQHC),
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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