Cherry Street Services Inc in Grand Rapids - Federally Qualified Health Center (fqhc)
Cherry Street Services Inc - NPI 1942498670
Cherry Street Services Inc is a Federally Qualified Health Center (fqhc) in Grand Rapids, Michigan. Cherry Street Services Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Cherry Street Services Inc is 1942498670. The last update date is 2021-12-29.
Cherry Street Services Inc's current location address is 100 Cherry St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169658200 and fax number 6169405366. The mailing address for Cherry Street Services Inc is 100 Cherry St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Cherry Street Services Inc |
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Address | 100 Cherry St Se, Grand Rapids, Michigan |
Phone Number | 6169658200 |
Fax Number | 6169405366 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Blackmon Tasha |
Telephone Number | 6169658200 |
NPI Number Detail
NPI Number | 1942498670 |
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Provider Enumeration Date | 2007-10-09 |
Last Updated Date | 2021-12-29 |
Provider Mailing Address Detail
Address | 100 Cherry St Se |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495034526 |
Phone Number | 6169658200 |
Fax Number | 6169405366 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
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Taxonomy | 261Qf0400X |
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique 10-digit identifier code issued to Cherry Street Services Inc by the Centers for Medicare & Medicaid Services?
The Cherry Street Services Inc has been assigned the NPI (National Provider Identifier) 1942498670 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Cherry Street Services Inc is physically located?
The Cherry Street Services Inc is physically situated at the following address: 100 Cherry St Se, Grand Rapids, MI, 495034526.
What is the Cherry Street Services Inc's specialty and taxonomy code?
The Cherry Street Services Inc's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942498670 to Cherry Street Services Inc?
The Cherry Street Services Inc received its 1942498670 assignment from the Centers for Medicare & Medicaid Services on 2007-10-09.
As of what date were the Cherry Street Services Inc's details last updated?
The information pertaining to the Cherry Street Services Inc, including its address, specialty, and other details, was most recently updated on 2021-12-29.