Cherry Street Services, Inc. in Grand Rapids - Federally Qualified Health Center (fqhc)
Cherry Street Services, Inc. - NPI 1982764643
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 1982764643. The last update date is 2023-08-25.
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. |
|---|---|
| Address | 100 Cherry St Se, Grand Rapids, Michigan |
| Phone Number | 6169658200 |
| Fax Number | 6169405366 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Blackmon Tasha |
| Telephone Number | 6169658215 |
NPI Number Detail
| NPI Number | 1982764643 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2023-08-25 |
Provider Mailing Address Detail
| Address | 100 Cherry St Se |
|---|---|
| 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) |
|---|---|
| Taxonomy | 261Qf0400X |
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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) 1982764643 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Cherry Street Services, Inc.'s facilities are geographically located?
The facilities of Cherry Street Services, Inc. are physically situated at the following location: 100 Cherry St Se, Grand Rapids, MI, 495034526.
What is Cherry Street Services, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Cherry Street Services, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982764643 to Cherry Street Services, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1982764643 to Cherry Street Services, Inc. on 2006-12-11.
As of what date was the information regarding Cherry Street Services, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cherry Street Services, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-08-25.
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