Organization
HACKLEY COMMUNITY CARE CENTER INC
Active
Organization
HACKLEY COMMUNITY CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE KOHN DO (CMO)
(231) 737-1335
Entity
Organization
Contact information
Practice address
80 W SOUTHERN AVE, MUSKEGON, MI 49441-2541
(231) 733-6680
Mailing address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157
(231) 737-1335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508245408
NPI
MI
Enumeration date
05/26/2015
Last updated
02/13/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up