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Hackley Community Care Center, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Ravenna, MI

NPI 1245814946 · NPPES record last updated May 9, 2021

Key facts

NPI
1245814946
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
HACKLEY COMMUNITY CARE CENTER, INC
Practice address
2700 S Ravenna Rd RM A101
Ravenna, MI 49451-9193
Phone
(231) 737-1335
NPI assigned
May 9, 2021
Organization subpart
No

Authorized official

Name
Valerie Blondin
Title
Cfo
Phone
(231) 733-6657

Corporate family (same tax ID) 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Hackley Community Care (30 organizations share this tax ID)

Locations

2700 S Ravenna Rd
Rm A101
Ravenna, MI 49451

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

2700 S Ravenna Rd RM A101
Ravenna, MI 49451-9193

Mailing address

2700 Baker St FL 3
Muskegon, MI 49444-2157

Other names

  • Ravenna Middle School Doing business as

Other providers in Ravenna, MI

All providers in Ravenna, MI · Federally Qualified Health Center (FQHC) in Michigan

Sources for this page

Verify at the official NPI Registry.