CHERRY STREET SERVICES INC (NPI# 1104423508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104423508 |
Entity Type | Organization |
Organization Name | CHERRY STREET SERVICES INC |
Practice Address |
100 Wexford St Se Rm 214 Wyoming MI 49548-2212 |
Mailing Address |
100 Cherry St Se Grand Rapids MI 49503-4526 |
Practice Telephone | 6162522070 |
Mailing Telephone | 6169658200 |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-08 |
Authorized Official Name | LINDA M CONSTANTINO (CFO) |
Authorized Official Telephone | 6167762128 |
Is Organization Subpart | Y |
Parent Organization Name | CHERRY STREET SERVICES INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Godwin Heights Middle School | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265081418 | Cherry Street Services Inc | Clinic/Center | 2125 Wrenwood St Sw Ofc Therapist, Wyoming, MI 49519-2362 | 2019-09-10 |
1184974263 | Cherry Street Services Inc | Counselor | 2929 Burlingame Ave Sw, Wyoming, MI 49509-2609 | 2012-09-14 |
1346600905 | Cherry Street Services Inc | Clinic/Center | 1611 Oak Ave, Muskegon, MI 49442-2468 | 2016-02-25 |
1427438944 | Cherry Street Services Inc | Clinic/Center | 1033 Healthcare Dr, Charlotte, MI 48813-1058 | 2015-06-01 |
1184015539 | Cherry Street Services Inc | Clinic/Center | 204 E Muskegon St, Cedar Springs, MI 49319-9326 | 2015-02-06 |
1962800680 | Cherry Street Services Inc | Dentist | 1230 W State St, Hastings, MI 49058-9712 | 2014-12-11 |
1316340094 | Cherry Street Services Inc | Social Worker | 421 Fountain St Ne, Grand Rapids, MI 49503-3334 | 2014-10-08 |
1801298716 | Cherry Street Services Inc | Counselor | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2014-09-23 |
1396165601 | Cherry Street Services Inc | Dentist | 100 Cherry Street, Grand Rapids, MI 49503 | 2014-04-25 |
1265862841 | Cherry Street Services Inc | Social Worker | 330 W Woodlawn Ave, Hastings, MI 49058-1035 | 2013-11-19 |
Street Address |
100 WEXFORD ST SE RM 214 |
City | WYOMING |
State | MI |
Zip Code | 49548-2212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
Find all providers in zip 49548 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on CHERRY STREET SERVICES INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.