Organization
CHERRY STREET SERVICES INC
Active
Organization
CHERRY STREET SERVICES INC
Active
Parent organization
CHERRY STREET SERVICES INC
Other names
Godwin Heights Middle School
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHERRY STREET SERVICES INC
Authorized official
TASHA BLACKMON (CEO)
(616) 965-8215
Entity
Organization
Contact information
Practice address
100 WEXFORD ST SE RM 214, WYOMING, MI 49548-2212
(616) 252-2070
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
10/08/2020
Last updated
08/25/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up