Hackley Community Care Center Inc

A Medicare group practice based in Muskegon, MI: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 8123015492), with 49 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8123015492The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
9
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 2 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20040511001126 MI Part B Supplier - Clinic/Group Practice 1629066238
O20101105000714 MI Part A Provider - Federally Qualified Health Center (FQHC) 1629066238
O20110608000847 MI Part A Provider - Federally Qualified Health Center (FQHC) 1508245408
O20220930002677 MI Part A Provider - Federally Qualified Health Center (FQHC) 1427787621
O20210615003269 MI Part A Provider - Federally Qualified Health Center (FQHC) 1609451905
O20220315000754 MI Part A Provider - Federally Qualified Health Center (FQHC) 1215504865
O20150617001352 MI Part A Provider - Federally Qualified Health Center (FQHC) 1699154500
O20120328000679 MI Part A Provider - Federally Qualified Health Center (FQHC) 1356720262
O20130806000409 MI Part A Provider - Federally Qualified Health Center (FQHC) 1427437326

NPIs in this group 9

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 49

Clinicians who reassign their Medicare benefits to this group (48) or whom Care Compare lists as members (18).

Sources for this page