Hackley Community Care Center, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

HACKLEY COMMUNITY CARE CENTER, INC

Doing business as

Fruitport High School

Practice address

357 N 6TH Ave
Fruitport, MI 49415-8613

Phone

(231) 737-1335

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katie Mosley

Title

Billing Manager

Phone

(231) 733-6876

Specialties & licenses 1

Addresses

Other names 1

• Fruitport High School Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1467356758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BAKER ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 N 6TH AVE",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494158613",
            "telephone_number": "231-737-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLEY COMMUNITY CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "231-733-6876"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fruitport High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Glatz
• Jody Lynn Gregg, LMT
• Grover Pharmacy Inc. (Grover Pharmacy)
• Hackley Community Care Center Inc (Edgewood Elementary)
• Hackley Community Care Center Inc (Fruitport Middle School)
• Healthy Concepts Inc. (Fruitport Chiropractic Center)
• Eric Heimendinger
• Veronica Hoyt
• Img Clinic PLLC
• Anthony V Izokaitis, DO

• Federally Qualified Health Center (FQHC) in Fruitport, MI
• Providers in Fruitport, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.