Organization
CHERRY STREET SERVICES INC
Active
Other names
Eaton Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SHEA (CEO)
(616) 776-2129
Entity
Organization
Contact information
Practice address
1033 HEALTHCARE DR, CHARLOTTE, MI 48813-1058
(616) 965-8200
(616) 940-5366
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5366
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
06/01/2015
Last updated
08/14/2015
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