Organization
HACKLEY COMMUNITY CARE CENTER INC
Active
Other names
Oakview Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI WEGLARZ (COO)
(231) 733-6610
Entity
Organization
Contact information
Practice address
1826 HOYT ST, MUSKEGON, MI 49442-5640
(231) 733-6384
Mailing address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157
(231) 737-1335
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629066238
—
MI
Enumeration date
10/12/2020
Last updated
08/28/2023
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