Cherry Street Services Inc
NPI 1104423508 · Federally Qualified Health Center (FQHC) · Wyoming, MI
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cherry Street Services Inc is a Federally Qualified Health Center (FQHC) organization in Wyoming, MI (NPI 1104423508).
Provider details
- NPI number
- 1104423508
- 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
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- Godwin Heights Middle School
- Doing business as
- Godwin Heights Middle School
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2023-08-25
- Certified
- 2023-08-25
Frequently asked questions
- What is Cherry Street Services Inc's NPI number?
- Cherry Street Services Inc's National Provider Identifier (NPI) is 1104423508, 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 Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Cherry Street Services Inc located?
- Cherry Street Services Inc's practice location on file with NPPES is 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212.
- 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) 252-2070.
- Does Cherry Street Services Inc accept Medicare?
- Cherry Street Services Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cherry Street Services Inc?
- The authorized official listed on Cherry Street Services Inc's NPPES record is Tasha Blackmon, 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 (1104423508) is active in the NPPES registry as of the last update on 2023-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.