Organization
CHERRY STREET SERVICES, INC.
Active
Other names
Belknap Commons Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SHEA (CEO)
(616) 776-2129
Entity
Organization
Contact information
Practice address
751 LAFAYETTE AVE NE, GRAND RAPIDS, MI 49503-1628
(616) 742-9945
(616) 742-9967
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 776-2370
(616) 776-2371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231867
FACILITY ID
MI
Enumeration date
11/20/2006
Last updated
09/11/2015
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