OrganizationActive
Cherry Street Services Inc
NPI 1982279428 · Federally Qualified Health Center (FQHC) · Grand Rapids, MI
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
- Authorized official
- Tasha Blackmon, Ceo
Practice location
2303 Kalamazoo Ave Se Ste 200
Grand Rapids, MI 49507-3780
Phone: (616) 965-8379
Fax: (616) 940-5354
Mailing address
100 Cherry St Se
Grand Rapids, MI 49503-4526
Registry dates
- Enumerated
- 2021-05-26
- Last updated
- 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.