Hackley Behavioral Health Services | |
1700 Clinton St Muskegon MI 49442-5502 | |
(231) 728-4950 | |
(231) 728-4036 |
Full Name | Hackley Behavioral Health Services |
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Speciality | Clinic/Center |
Location | 1700 Clinton St, Muskegon, Michigan |
Authorized Official Name and Position | Michelle Lohman (REGION DIR PHYSICIAN REVENUE CYCLE) |
Authorized Official Contact | 2317274499 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hackley Behavioral Health Services Po Box 1847 Muskegon MI 49443-1847 Ph: (231) 727-4444 | Hackley Behavioral Health Services 1700 Clinton St Muskegon MI 49442-5502 Ph: (231) 728-4950 |
NPI Number | 1194767186 |
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Provider Enumeration Date | 06/12/2006 |
Last Update Date | 02/23/2016 |
Medicare PECOS PAC ID | 5799694949 |
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Medicare Enrollment ID | O20040311000097 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194767186 | NPI | - | NPPES |
0P15090 | Other | MI | GROUP PTAN |
0F16394 | Other | MI | GROUP PTAN |
0N85740 | Other | MI | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Brian D Krause |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1588638068 PECOS PAC ID: 8224183645 Enrollment ID: I20090908000289 |
Provider Name | Virgilio F Vasquez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376590489 PECOS PAC ID: 2567599517 Enrollment ID: I20100422000568 |
Provider Name | Peter B Mikhail |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316181308 PECOS PAC ID: 9931362019 Enrollment ID: I20121219000541 |
Provider Name | Eric E Erickson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558342220 PECOS PAC ID: 9931157120 Enrollment ID: I20140211000643 |
County Of Muskegon Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 376 E Apple Avenue, Muskegon, MI 49442 Phone: 231-724-1111 Fax: 231-724-4188 | |
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