Organization · Type 2 NPI

Cherry Street Services, Inc.

Federally Qualified Health Center (FQHC) · Grand Rapids, MI

NPI number 1336399047 Active

Practice location

550 Cherry St SE
Grand Rapids, MI 49503-4748

Mailing address

100 Cherry St SE
Grand Rapids, MI 49503-4526

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1336399047

Cherry Street Services, Inc.'s National Provider Identifier is 1336399047, issued on Sep 30, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 9, 2026.