Cherry Street Services, Inc | |
100 Cherry St Se Grand Rapids MI 49503-4526 | |
(616) 776-2120 | |
(616) 776-2122 |
Full Name | Cherry Street Services, Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 100 Cherry St Se, Grand Rapids, Michigan |
Authorized Official Name and Position | Chris Shea (CEO) |
Authorized Official Contact | 6167762120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cherry Street Services, Inc 100 Cherry St Se Grand Rapids MI 49503-4526 Ph: (616) 965-8200 | Cherry Street Services, Inc 100 Cherry St Se Grand Rapids MI 49503-4526 Ph: (616) 776-2120 |
NPI Number | 1902024649 |
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Provider Enumeration Date | 04/20/2007 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902024649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
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