| Cherry Street Health Services | |
|
550 Cherry St Se Grand Rapids MI 49503-4748 | |
| (616) 235-7272 | |
| (616) 235-7506 |
| Full Name | Cherry Street Health Services |
|---|---|
| Speciality | Registered Nurse |
| Location | 550 Cherry St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Chris Shea (CEO) |
| Authorized Official Contact | 6167762129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Street Health Services 100 Cherry St Se Grand Rapids MI 49503-4526 Ph: (616) 965-8200 | Cherry Street Health Services 550 Cherry St Se Grand Rapids MI 49503-4748 Ph: (616) 235-7272 |
| NPI Number | 1730377052 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730377052 | NPI | - | NPPES |
| 3196314 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | (* (Not Available)) | Primary |
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