| Hackley Community Care Center Inc | |
| 
					6245 Syers Rd Ste A Holton MI 49425-7557  | |
| (231) 733-6923 | |
| Not Available | 
| Full Name | Hackley Community Care Center Inc | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 6245 Syers Rd Ste A, Holton, Michigan | 
| Authorized Official Name and Position | Sheri Weglarz (COO) | 
| Authorized Official Contact | 2317336610 | 
| 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 6245 Syers Rd Ste A Holton MI 49425-7557 Ph: (231) 733-6923  | 
| NPI Number | 1922613975 | 
|---|---|
| Provider Enumeration Date | 09/15/2020 | 
| Last Update Date | 09/15/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922613975 | 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: 6477 Syers Rd, Holton, MI 49425 Phone: 231-733-6820  |