Organization
CHERRY STREET HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SHEA (CEO)
(616) 776-2129
Entity
Organization
Contact information
Practice address
550 CHERRY ST SE, GRAND RAPIDS, MI 49503-4748
(616) 235-7272
(616) 235-7506
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
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3196314
—
MI
Enumeration date
10/11/2007
Last updated
10/19/2012
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