HACKLEY COMMUNITY CARE CENTER, INC
NPI 1003648809
Clinic/Center - Federally Qualified Health Center (FQHC) in Muskegon, MI
About Hackley Community Care Center, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HACKLEY COMMUNITY CARE CENTER, INC (NPI 1003648809), doing business as Charles Hackley Middle School, is a healthcare organization registered as a federally qualified health center (fqhc) in Muskegon, Michigan and active in the NPI registry since August 2024. The organization holds 2 active CLIA laboratory certificates and lists Valerie Blondin, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D0872378
Hackley Community Care · Muskegon Heights, MICertificate of Waiver 23D2328249
Hackley Community Care - Dental · Muskegon Heights, MIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hackley Community Care Center, Inc's NPI number?
The NPI number for Hackley Community Care Center, Inc is 1003648809. It was assigned to this organization in the NPPES registry on August 19, 2024. The provider is doing business as Charles Hackley Middle School.
Where is Hackley Community Care Center, Inc located?
Hackley Community Care Center, Inc is located at 180 E Laketon Ave Ste A, Muskegon, MI 49441. The listed phone number is (231) 737-1335.
What is Hackley Community Care Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Hackley Community Care Center, Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Hackley Community Care Center, Inc was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Hackley Community Care Center, Inc · NPI 1003648809
Federally Qualified Health Center (FQHC) organization in Muskegon, Michigan. Organization record, active in the CMS NPPES registry since August 19, 2024.
## Identity
- **NPI:** 1003648809 (Entity type: Organization)
- **Enumerated:** August 19, 2024
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Charles Hackley Middle School (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Valerie Blondin, CFO
## Practice location
- **Address:** 180 E LAKETON AVE STE A, Muskegon, MI 49441
- **Phone:** (231) 737-1335
## Record status
- **NPPES last updated:** August 19, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003648809) · Data from the CMS NPPES public registry.