HACKLEY COMMUNITY CARE CENTER, INC
NPI 1629645072
Clinic/Center - Federally Qualified Health Center (FQHC) in Muskegon, MI

Q: What is Hackley Community Care Center, Inc's NPI number?

The NPI number for Hackley Community Care Center, Inc is 1629645072. It was assigned to this organization in the NPPES registry on June 4, 2021. The provider is doing business as Three Oaks Charter Academy.

Q: 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.

Active since June 04, 2021

1212 KINGSLEY ST RM 106, MUSKEGON, MI 49442(231) 737-1335 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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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 1629645072), doing business as Three Oaks Charter Academy, is a healthcare organization registered as a federally qualified health center (fqhc) in Muskegon, Michigan and active in the NPI registry since June 2021. The organization lists Valerie Blondin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629645072

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameHACKLEY COMMUNITY CARE CENTER, INC

Location Address1212 KINGSLEY ST RM 106Muskegon, MI 49442-4025

Mailing Address2700 Baker St Fl 3Muskegon, MI 49444-2157

Phone(231) 737-1335

Organization SubpartNo

Authorized OfficialValerie BlondinCfo · (231) 733-6657

Enumeration DateJune 4, 2021

NPPES CertifiedMay 20, 2021

✔ NPI 1629645072 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

1212 KINGSLEY ST RM 106, Muskegon, MI 49442

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Other Names 1

Doing Business AsThree Oaks Charter Academy

Other Providers at the Same Location NPPES

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

ANGELEA ANDERSON LMSW

Social Worker (Clinical)

1212 KINGSLEY ST RM 106
MUSKEGON, MI 49442

Muskegon County (231) 737-1335

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 1629645072. It was assigned to this organization in the NPPES registry on June 4, 2021. The provider is doing business as Three Oaks Charter Academy.

Where is Hackley Community Care Center, Inc located?

Hackley Community Care Center, Inc is located at 1212 Kingsley St Rm 106, Muskegon, MI 49442. 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 June 4, 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.