Cherry Street Services Inc
NPI 1982279428 · Federally Qualified Health Center (FQHC) · Grand Rapids, 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 Grand Rapids, MI (NPI 1982279428).
Provider details
- NPI number
- 1982279428
- 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) 965-8200
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
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
- Cherry Health - Southside Health Center Suite 200
- Doing business as
- Cherry Health - Southside Health Center Suite 200
Registry dates
- Enumerated
- 2021-05-26
- Last updated
- 2021-08-31
- Certified
- 2021-08-31
Frequently asked questions
- What is Cherry Street Services Inc's NPI number?
- Cherry Street Services Inc's National Provider Identifier (NPI) is 1982279428, 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 2303 Kalamazoo Ave Se Ste 200, Grand Rapids, MI 49507-3780.
- 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) 965-8379.
- 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 (1982279428) is active in the NPPES registry as of the last update on 2021-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.