HACKLEY COMMUNITY CARE CENTER INC (NPI# 1427658244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427658244 |
Entity Type | Organization |
Organization Name | HACKLEY COMMUNITY CARE CENTER INC |
Practice Address |
3113 Pontaluna Rd Ste A Fruitport MI 49415-9600 |
Mailing Address |
2700 Baker St Fl 3 Muskegon MI 49444-2157 |
Practice Telephone | 2317336809 |
Enumeration Date | 2020-10-30 |
Last Update Date | 2020-10-30 |
Authorized Official Name | SHERI WEGLARZ (COO) |
Authorized Official Telephone | 2317336610 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Fruitport Middle School | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
1598319915 | Hackley Community Care Center Inc | Clinic/Center | 2312 Denmark St, Muskegon, MI 49441-1479 | 2019-07-25 |
1619485398 | Hackley Community Care Center Inc | Family Medicine | 481 S Wolf Lake Rd Ste A, Muskegon, MI 49442-3033 | 2018-01-17 |
1962881862 | Hackley Community Care Center Inc | Counselor | 1150 Amity Ave, Muskegon, MI 49442-3713 | 2015-05-26 |
1881073781 | Hackley Community Care Center Inc | Counselor | 480 Bennett St, Muskegon, MI 49442-2133 | 2015-05-26 |
1699154591 | Hackley Community Care Center Inc | Counselor | 2441 Sanford St, Muskegon, MI 49444-1438 | 2015-05-26 |
1063891968 | Hackley Community Care Center Inc | Counselor | 125 Catherine Ave, Muskegon, MI 49442-3331 | 2015-05-26 |
1508245408 | Hackley Community Care Center Inc | Counselor | 80 W Southern Ave, Muskegon, MI 49441-2541 | 2015-05-26 |
1699154500 | Hackley Community Care Center Inc | Counselor | 251 S Wolf Lake Rd, Muskegon, MI 49442-3029 | 2015-05-26 |
Street Address |
3113 PONTALUNA RD STE A |
City | FRUITPORT |
State | MI |
Zip Code | 49415-9600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336786300 | Jessica J Sneller Dds Pllc | Clinic/Center | 384 N Third Ave, Suite A, Fruitport, MI 49415 | 2019-12-09 |
1114309796 | Marissa Brandenburg | Counselor | 3255 Pontaluna Rd, Fruitport, MI 49415 | 2015-06-19 |
1174873665 | Agape Home At Blueberry Fields Inc. | Assisted Living Facility | 4747 E Mt. Garfield Rd., Fruitport, MI 49415 | 2012-09-12 |
1124266960 | James Robert Lucie | Family Medicine | 4191 E. Fruitport Rd, Fruitport, MI 49415 | 2009-02-02 |
1487677555 | Healthy Concepts Inc. | Chiropractor | 3427 Farr Rd, Fruit Port, MI 49415 | 2006-07-26 |
1619997996 | Third Avenue Family Clinic, PC | Family Medicine | 14 N. Third Ave, Fruitport, MI 49415 | 2006-07-20 |
1619360500 | Kevin E Krum | Psychologist | 2981 E Sternberg Rd, Fruitport, MI 49415-8625 | 2015-03-17 |
1215930854 | Renae Lynne Crozier | Registered Nurse | 3443 Farr Rd, Fruitport, MI 49415-8779 | 2005-05-27 |
1457989188 | David W Ziemke | Family Medicine | 3443 Farr Rd, Fruitport, MI 49415-8779 | 2020-03-30 |
1780212456 | George W Neros | Family Medicine | 3443 Farr Rd, Fruitport, MI 49415-8779 | 2020-03-30 |
Find all providers in zip 49415 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386298552 | Hackley Community Care Center Inc | Clinic/Center | 3255 Pontaluna Rd, Fruitport, MI 49415-9600 | 2019-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
1336779131 | Northwest Michigan Health Services Inc. | Clinic/Center | 512 Bryant Ave., Room 23, Manistee, MI 49660-1839 | 2020-01-21 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.