Organization
CHERRY STREET SERVICES INC
Active
Other names
Montcalm Area Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TASHA BLACKMON (EXECUTIVE DIRECTOR)
(616) 965-8200
Entity
Organization
Contact information
Practice address
1003 N LAFAYETTE ST, GREENVILLE, MI 48838-1168
(616) 225-9650
(616) 225-8525
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
—
MI
122300000X
Dentist
—
—
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
12/29/2021
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