Cherry Street Services Inc

LBN: Cherry Street Services Inc
Cherry Street Services Inc is an health care organization with primary practice located at 421 Fountain St Ne , Grand Rapids MI 49503-3334. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Cherry Street Services Inc can be contacted via phone (616) 965-8200, or through Blackmon, Tasha via phone (616) 965-8200.

Contact Information

Primary practice address
421 Fountain St Ne Grand Rapids MI 49503-3334
Phone: (616) 965-8200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blackmon, Tasha
Phone: (616) 965-8200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1316340094
LBN Legal business name Cherry Street Services Inc
DBA Doing business as
Authorized official Blackmon, Tasha
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 8th, 2014
Last updated Jun 25th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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