Organization
HACKLEY COMMUNITY CARE CENTER, INC
Active
Other names
Whitehall Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE BLONDIN (CFO)
(231) 733-6657
Entity
Organization
Contact information
Practice address
401 S ELIZABETH ST RM 11, WHITEHALL, MI 49461-1349
(231) 737-1335
Mailing address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/09/2021
Last updated
05/09/2021
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