HACKLEY COMMUNITY CARE CENTER INC


Address: 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600
Phone: 2317336809

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Fruitport Middle School Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3113 PONTALUNA RD STE A
City FRUITPORT
State MI
Zip Code 49415-9600

Providers in the same zip code

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 Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386298552 Hackley Community Care Center Inc Clinic/Center 3255 Pontaluna Rd, Fruitport, MI 49415-9600 2019-07-26

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City FRUITPORT
Zip Code 49415

Improve Information

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Dataset Information

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.

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