Organization
CHERRY STREET SERVICES INC
Active
Other names
Barry Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SHEA (CEO)
(616) 776-2120
Entity
Organization
Contact information
Practice address
330 W WOODLAWN AVE, HASTINGS, MI 49058-1035
(965) 945-4220
(296) 945-4229
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/19/2013
Last updated
11/12/2014
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