Organization
CHERRY STREET SERVICES, INC.
Active
Organization
CHERRY STREET SERVICES, INC.
Active
Other names
Union High School Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA BLACKMON (CEO)
(616) 965-8215
Entity
Organization
Contact information
Practice address
1800 TREMONT BLVD NW, GRAND RAPIDS, MI 49504-4868
(616) 791-6593
(616) 791-6729
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
—
—
207Q00000X
Family Medicine Physician
4301056818
MI
208000000X
Pediatrics Physician
4301082271
MI
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/25/2023
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