OrganizationActive
Cherry Street Services Inc
NPI 1104423508 · Federally Qualified Health Center (FQHC) · Wyoming, MI
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
- Authorized official
- Tasha Blackmon, Ceo
Practice location
100 Wexford St Se Rm 214
Wyoming, MI 49548-2212
Phone: (616) 252-2070
Mailing address
100 Cherry St Se
Grand Rapids, MI 49503-4526
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 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.