NPIMap

Organization Active NPI

Hackley Hospital

  • Urgent Care Clinic/Center
  • Muskegon, MI
National Provider Identifier
1992988562
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HACKLEY HOSPITAL
Practice address
6401 Prairie St
Suite 1200
Muskegon, MI 49444-7840
Phone
(231) 724-7861
Fax
(231) 724-7808
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Lori Muellerleile
Title
Manager
Phone
(231) 728-4753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MI Primary

Addresses

Primary practice location

6401 Prairie St
Suite 1200
Muskegon, MI 49444-7840

Mailing address

6401 Prairie St
Suite 1200
Muskegon, MI 49444-7840
Phone (231) 724-7800

Other identifiers 1

IdentifierTypeStateIssuer
0F11214OtherMIBCN

Other names 1

  • HACKLEY URGENT CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hackley Hospital12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1992988562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 PRAIRIE ST",
            "address_2": "SUITE 1200",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494447840",
            "telephone_number": "231-724-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 PRAIRIE ST",
            "address_2": "SUITE 1200",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494447840",
            "telephone_number": "231-724-7861",
            "fax_number": "231-724-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "MUELLERLEILE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "231-728-4753"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "0F11214",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HACKLEY URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.