HACKLEY HOSPITAL NPI 1972891877

NPI Information

HACKLEY HOSPITAL is an occupational medicine clinic center in Grand Rapids, MI. HACKLEY HOSPITAL NPI is 1972891877. The provider is registered as an organization entity type.
The provider Is Doing Business As Workplace Health Grand Rapids.

The provider's business location address is:

200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503-502
Phone: (616) 685-6017

The provider's authorized official is Michael Weessies .
The authorized official title is Director Of Operations and has the following contact phone number (231) 728-4023.

The CLIA number assigned to this NPI record is 23D2098726 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2011 and was last updated on 7/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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