| NPI | 1194175612 |
|---|---|
| Doing Business As | MIHP HACKLEY COMMUNITY CARE CENTER INC |
| Entity Type | Organization |
| Authorized Contact | WAYNE KOHN Cmp 231-737-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |