HACKLEY COMMUNITY CARE CENTER INC is a federally qualified health center (fqhc) clinic center in Fruitport, MI. HACKLEY COMMUNITY CARE CENTER INC NPI is 1386298552. The provider is registered as an organization entity type.
The provider's business location address is:
3255 PONTALUNA RD
FRUITPORT, MI
ZIP 49415-600
Phone: (231) 733-6720
The provider's authorized official is Danielle Koestner .
The authorized official title is Cmo and has the following contact phone number (231) 737-1335.
The CLIA number assigned to this NPI record is 23D0872378 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 7/26/2019 and was last updated on 7/26/2019.