OrganizationActive
Cherry Street Services Inc
NPI 1184974263 · Federally Qualified Health Center (FQHC) · Wyoming, MI
Provider details
- NPI number
- 1184974263
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Cherry Street Services
- Authorized official
- Tasha Blackmon, Ceo
Practice location
2929 Burlingame Ave Sw
Wyoming, MI 49509-2609
Phone: (616) 965-8333
Fax: (616) 940-5820
Mailing address
100 Cherry St Se
Grand Rapids, MI 49503-4526
Registry dates
- Enumerated
- 2012-09-14
- Last updated
- 2024-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.