HACKLEY COMMUNITY CARE CENTER, INC
NPI 1215504865
Clinic/Center - Federally Qualified Health Center (FQHC) in Muskegon, MI

NPI Status: Active since June 10, 2021

Contact Information

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444
Phone: (231) 737-1335

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About HACKLEY COMMUNITY CARE CENTER, INC

This page provides the complete NPI Profile along with additional information for Hackley Community Care Center, Inc, a primary care provider established in Muskegon, Michigan operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1215504865 assigned on June 2021. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Valerie Blondin (Cfo)

NPI
1215504865
Provider Name
HACKLEY COMMUNITY CARE CENTER, INC
Entity Type
Organization
Location Address
2700 BAKER ST FL 3 MUSKEGON, MI 49444
Location Phone
(231) 737-1335
Mailing Address
2700 BAKER ST FL 3 MUSKEGON, MI 49444
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2021
Last Update Date
06-10-2021
Code Navigator

A primary care provider (PCP) like Hackley Community Care Center, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VALERIE BLONDIN

Authorized Official Title
CFO
Authorized Official Phone
(231) 733-6657

Reviews for HACKLEY COMMUNITY CARE CENTER, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215504865
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251008812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 0 + 0 + 8 + 8 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1215504865 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MR. CEDRIC HARLAN SCOTT LIMITED LICENSE PSYC

Psychologist

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 733-6607

DIANE R KOPS RN

Registered Nurse

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 733-6607

NANCY J WELLER BSW

Social Worker

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 733-6607

KATHLEEN M BENTON RD

Dietitian, Registered

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 733-6607

PAMELA A HOWARD RN

Registered Nurse

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 733-6607

TESSA J HURT PA-C

Physician Assistant

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 737-1335

ALLISON A BUSH MS LLP

Psychologist

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 737-1335

HACKLEY COMMUNITY CARE CENTER INC

Clinic/Center

(Federally Qualified Health Center (FQHC))

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 737-1335

HACKLEY COMMUNITY CARE CENTER INC

Family Medicine

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 737-1335

ANN MARIE WILSON LMSW

Social Worker

(Clinical)

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 737-1335

JACKIE HALLBERG LMSW

Social Worker

(Clinical)

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 737-1335

MARIE WALL CNM

Advanced Practice Midwife

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 733-6607

MR. WILLIAM J ULRICH III PAC

Physician Assistant

(Medical)

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 733-6607

JOY ROBINSON CMSW

Social Worker

(Clinical)

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 737-1335

KIERRA JONES LLMS

Social Worker

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 737-1335

LORI WILTENBURG SW

Social Worker

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 733-6607

HACKLEY COMMUNITY CARE CENTER INC

Clinic/Center

(Federally Qualified Health Center (FQHC))

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 737-1335

JULIE ROSE ESCARENO LMSW

Social Worker

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 737-1335

MRS. WENDY S RUSH LPC

Counselor

(Mental Health)

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 737-1335

LAURA JEAN WAGNER LMSW

Social Worker

(Clinical)

2700 BAKER ST FL 3
MUSKEGON, MI
ZIP 49444

(231) 737-1335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215504865, enumerated as an "organization" on June 10, 2021.

The provider is located at 2700 BAKER ST FL 3 MUSKEGON, MI 49444 and the phone number is (231) 737-1335.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).