| Hackley Community Care Center Inc | |
|
6477 Syers Rd Holton MI 49425-7508 | |
| (231) 733-6820 | |
| Not Available |
| Full Name | Hackley Community Care Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6477 Syers Rd, Holton, Michigan |
| Authorized Official Name and Position | Danielle Koestner (CMO) |
| 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 6477 Syers Rd Holton MI 49425-7508 Ph: (231) 733-6820 |
| NPI Number | 1841844016 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 07/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841844016 | NPI | - | NPPES |
| 1629066238 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hackley Community Care Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6245 Syers Rd Ste A, Holton, MI 49425 Phone: 231-733-6923 |