| Hackley Community Care Center Inc | |
|
2700 Baker St Fl 3 Muskegon MI 49444-2157 | |
| (231) 737-1335 | |
| (231) 737-0534 |
| Full Name | Hackley Community Care Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2700 Baker St Fl 3, Muskegon, Michigan |
| Authorized Official Name and Position | Wayne Kohn (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2317371335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackley Community Care Center Inc 2700 Baker St Fl 3 Muskegon MI 49444-2157 Ph: (231) 737-1335 | Hackley Community Care Center Inc 2700 Baker St Fl 3 Muskegon MI 49444-2157 Ph: (231) 737-1335 |
| NPI Number | 1255669818 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 06/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255669818 | NPI | - | NPPES |
| 1629066238 | Other | MI | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
Thomas M. Smith, Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 Seminole Rd, Muskegon, MI 49441 Phone: 231-780-5334 Fax: 231-780-5335 | |
Apple Denture Center Of West Michigan Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Apple Ave, Muskegon, MI 49442 Phone: 231-773-8500 Fax: 231-773-1314 | |
Port City Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1848 E Sherman Blvd, Suite C, Muskegon, MI 49444 Phone: 231-737-7745 Fax: 231-737-3296 | |
Allcare Dental & Dentures Of Mi Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 E Sternberg Rd, Suite 40, Muskegon, MI 49444 Phone: 231-799-8162 Fax: 231-799-9538 | |
James F. Hegedus Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5978 Harvey St, Muskegon, MI 49444 Phone: 231-799-0404 Fax: 231-799-0014 | |
Paul S Christie Iii Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2015 Holton Rd, Muskegon, MI 49445 Phone: 231-744-4784 Fax: 231-744-0601 | |
David B Jackson Dds Ms Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 W Seminole Road, Suite #213, Muskegon, MI 49444 Phone: 231-739-7657 Fax: 231-737-5107 |