Organization · Type 2 NPI
Cherry Street Services, Inc.
Federally Qualified Health Center (FQHC) · Grand Rapids, MI
NPI number
1982764643
Active
Practice location
1800 Tremont Blvd NW
Grand Rapids, MI 49504-4868
Fax (616) 791-6729
Mailing address
100 Cherry St SE
Grand Rapids, MI 49503-4526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Dentist | 122300000X | None listed |
| Family Medicine Physician | 207Q00000X | 4301056818 (MI) |
| Pediatrics Physician | 208000000X | 4301082271 (MI) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
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About NPI 1982764643
Cherry Street Services, Inc.'s National Provider Identifier is 1982764643, issued on Dec 11, 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.