Cherry Street Services, Inc.
NPI 1063586816 · Family Medicine Physician · Grand Rapids, MI
Cherry Street Services, Inc. is a Family Medicine Physician organization in Grand Rapids, MI (NPI 1063586816).
Provider details
- NPI number
- 1063586816
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chris Shea, Ceo(616) 776-2120
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Dentist122300000X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Salvation Army Booth Clinic
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2012-10-19
Frequently asked questions
- What is Cherry Street Services, Inc.'s NPI number?
- Cherry Street Services, Inc.'s National Provider Identifier (NPI) is 1063586816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cherry Street Services, Inc.?
- Cherry Street Services, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cherry Street Services, Inc. located?
- Cherry Street Services, Inc.'s practice location on file with NPPES is 1215 Fulton St E, Grand Rapids, MI 49503-3849.
- What is Cherry Street Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Cherry Street Services, Inc. is (616) 459-9468.
- Who is the authorized official for Cherry Street Services, Inc.?
- The authorized official listed on Cherry Street Services, Inc.'s NPPES record is Chris Shea, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cherry Street Services, Inc.'s NPI active?
- Yes — Cherry Street Services, Inc.'s NPI (1063586816) is active in the NPPES registry as of the last update on 2012-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.