Organization
HACKLEY HOSPITAL
Active
Other names
HACKLEY URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MUELLERLEILE (MANAGER)
(231) 728-4753
Entity
Organization
Contact information
Practice address
6401 PRAIRIE ST, SUITE 1200, MUSKEGON, MI 49444-7840
(231) 724-7861
(231) 724-7808
Mailing address
6401 PRAIRIE ST, SUITE 1200, MUSKEGON, MI 49444-7840
(231) 724-7800
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F11214
BCN
MI
Enumeration date
12/06/2007
Last updated
01/07/2008
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