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HACKLEY COMMUNITY CARE CENTER, INC
NPI 1760057822
Clinic/Center - Federally Qualified Health Center (FQHC) in Muskegon, MI

Active since May 21, 2021
55 E SHERMAN BLVD, MUSKEGON, MI 49444(231) 830-3600 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 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 1760057822), doing business as Dr. Martin Luther King Academy, is a healthcare organization registered as a federally qualified health center (fqhc) in Muskegon, Michigan and active in the NPI registry since May 2021. The organization lists Valerie Blondin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1760057822
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHACKLEY COMMUNITY CARE CENTER, INC
Location Address55 E SHERMAN BLVDMuskegon, MI 49444-1562
Mailing Address2700 Baker St Fl 3Muskegon, MI 49444-2157
Phone(231) 830-3600
Organization SubpartNo
Authorized OfficialValerie BlondinCfo · (231) 733-6657
Enumeration DateMay 21, 2021
NPPES CertifiedMay 9, 2021
✔ NPI 1760057822 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
55 E SHERMAN BLVD, Muskegon, MI 49444
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Other Names 1

Doing Business AsDr. Martin Luther King Academy

Other Identifiers 1

Medicaid1629066238MI

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 1760057822. It was assigned to this organization in the NPPES registry on May 21, 2021. The provider is doing business as Dr. Martin Luther King Academy.

Where is Hackley Community Care Center, Inc located?

Hackley Community Care Center, Inc is located at 55 E Sherman Blvd, Muskegon, MI 49444. The listed phone number is (231) 830-3600.

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 21, 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.