HACKLEY COMMUNITY CARE CENTER, INC
NPI 1245814946
Clinic/Center - Federally Qualified Health Center (FQHC) in Ravenna, MI

Active since May 09, 2021
2700 S RAVENNA RD RM A101, RAVENNA, MI 49451(231) 737-1335 Get Directions Write a Review

NPPES record last updated: May 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1245814946), doing business as Ravenna Middle School, is a healthcare organization registered as a federally qualified health center (fqhc) in Ravenna, Michigan and active in the NPI registry since May 2021. The organization lists Valerie Blondin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245814946
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHACKLEY COMMUNITY CARE CENTER, INC
Location Address2700 S RAVENNA RD RM A101Ravenna, MI 49451-9193
Mailing Address2700 Baker St Fl 3Muskegon, MI 49444-2157
Organization SubpartNo
Authorized OfficialValerie BlondinCfo · (231) 733-6657
Enumeration DateMay 9, 2021
NPPES CertifiedMay 9, 2021
NPI 1245814946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2700 S RAVENNA RD RM A101, Ravenna, MI 49451

Other Names 1

Doing Business AsRavenna Middle School

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
2700 S RAVENNA RD RM A101
RAVENNA, MI 49451

Frequently 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 1245814946. It was assigned to this organization in the NPPES registry on May 9, 2021. The provider is doing business as Ravenna Middle School.

Where is Hackley Community Care Center, Inc located?

Hackley Community Care Center, Inc is located at 2700 S Ravenna Rd Rm A101, Ravenna, MI 49451. 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.

When was this NPI record last updated?

The NPPES record for Hackley Community Care Center, Inc was last updated on May 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.