Muskegon Recovery Center – Federally Qualified Health Center (FQHC), NPI 1346600905

Muskegon Recovery Center is a healthcare provider. based in Grand rapids, Michigan. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Muskegon Recovery Center is 1346600905

Main info

Organization
Name
Muskegon Recovery Center
NPI
1346600905
Phone
(616) 965-8200
Address
100 CHERRY ST SE
Authorized Official
TASHA BLACKMON CEO CEO
Enumeration Date
25 February 2016
Last Update Date
25 August 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:10State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Muskegon Recovery Center

  • 100, Cherry Street Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034526

    Phone: (616) 965-8200

    Fax: (616) 940-5366

    Type: Mailing

  • 1611, Oak Avenue, Shady Park Neighbourhood, Muskegon, Muskegon Township, Muskegon County, Michigan, 49442, United States

    MUSKEGON, MI 494422468

    Phone: (616) 965-8200

    Fax: (616) 940-5366

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-01-31 (862 days ago).

Enrollment records

1

Earliest due date

2024-01-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20170105000134OFederally Qualified Health Center (Fqhc)MI2024-01-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm81129$0
G2078Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure18620$0
G2077Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for10425$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Muskegon Recovery Center?
Muskegon Recovery Center — NPI 1346600905 — is the standard way to identify this listing.
Can I rely on Muskegon Recovery Center being an active provider?
As of the registry snapshot, Muskegon Recovery Center is marked active.
What is Muskegon Recovery Center's specialty?
The listing groups Muskegon Recovery Center with Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where should I expect Muskegon Recovery Center on a map?
Expect Grand Rapids, Michigan as a primary anchor for Muskegon Recovery Center unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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