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Cherry Street Services Inc — NPI 1013283852, Grand Rapids, MI | NPI Central

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NPI 1013283852

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Cherry Street Services Inc

NPI 1013283852 · Federally Qualified Health Center (FQHC) · Grand Rapids, MI

Provider details

NPI number: 1013283852
Entity type: Organization
Primary specialty: Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Parent organization: Cherry Street Services, Inc
Organization subpart: Yes
Authorized official: Tasha Blackmon, Ceo(616) 965-8215

Specialties & taxonomies

Federally Qualified Health Center (FQHC)Primary261QF0400X
Ambulatory Health Care Facilities
Optometrist152W00000X
Eye and Vision Services Providers

Practice location

550 Cherry St Se

Grand Rapids, MI 49503-4748

Phone: (616) 776-2263

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

100 Cherry St Se

Grand Rapids, MI 49503-4526

Other names (DBA / former)

Doing business as: Cherry Health - School Linked Vision Program

Registry dates

Enumerated: 2012-03-27
Last updated: 2026-01-12
Certified: 2026-01-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.