Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hackley Community Care Center Inc

Organization Family Medicine Physician · NPI 1194175612

Hackley Community Care Center Inc is a Family Medicine Physician in Muskegon, Michigan. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2700 Baker St Fl 3
Muskegon, MI 49444-2157
Phone: (231) 737-1335
Fax: (231) 737-0534
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1194175612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Kohn — Cmp · (231) 737-1335
Other names Mihp Hackley Community Care Center Inc
NPI enumeratedJune 15, 2016
Last updated in NPPESJune 15, 2016
Mailing address2700 Baker St Fl 3, Muskegon, MI 49444-2157

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