Organization · Type 2 NPI

Cherry Street Services, Inc.

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

NPI number 1770656605 Active

Practice location

2135 Buchanan Ave SW
Grand Rapids, MI 49507-2911

Fax (616) 247-0780

Mailing address

100 Cherry St SE
Grand Rapids, MI 49503-4526

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Dentist 122300000XNone listed
Family Medicine Physician 207Q00000XNone listed
Pediatrics Physician 208000000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

5 other providers at this address

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About NPI 1770656605

Cherry Street Services, Inc.'s National Provider Identifier is 1770656605, issued on Nov 16, 2006. 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 Aug 25, 2023.