CHERRY STREET SERVICES INC


Address: 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212
Phone: 6162522070

CHERRY STREET SERVICES INC (NPI# 1104423508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104423508
Entity Type Organization
Organization Name CHERRY STREET SERVICES INC
Practice Address 100 Wexford St Se Rm 214
Wyoming
MI 49548-2212
Mailing Address 100 Cherry St Se
Grand Rapids
MI 49503-4526
Practice Telephone 6162522070
Mailing Telephone 6169658200
Enumeration Date 2020-10-08
Last Update Date 2020-10-08
Authorized Official Name LINDA M CONSTANTINO (CFO)
Authorized Official Telephone 6167762128
Is Organization Subpart Y
Parent Organization Name CHERRY STREET SERVICES INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
N 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Godwin Heights Middle School Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265081418 Cherry Street Services Inc Clinic/Center 2125 Wrenwood St Sw Ofc Therapist, Wyoming, MI 49519-2362 2019-09-10
1184974263 Cherry Street Services Inc Counselor 2929 Burlingame Ave Sw, Wyoming, MI 49509-2609 2012-09-14
1346600905 Cherry Street Services Inc Clinic/Center 1611 Oak Ave, Muskegon, MI 49442-2468 2016-02-25
1427438944 Cherry Street Services Inc Clinic/Center 1033 Healthcare Dr, Charlotte, MI 48813-1058 2015-06-01
1184015539 Cherry Street Services Inc Clinic/Center 204 E Muskegon St, Cedar Springs, MI 49319-9326 2015-02-06
1962800680 Cherry Street Services Inc Dentist 1230 W State St, Hastings, MI 49058-9712 2014-12-11
1316340094 Cherry Street Services Inc Social Worker 421 Fountain St Ne, Grand Rapids, MI 49503-3334 2014-10-08
1801298716 Cherry Street Services Inc Counselor 100 Cherry St Se, Grand Rapids, MI 49503-4526 2014-09-23
1396165601 Cherry Street Services Inc Dentist 100 Cherry Street, Grand Rapids, MI 49503 2014-04-25
1265862841 Cherry Street Services Inc Social Worker 330 W Woodlawn Ave, Hastings, MI 49058-1035 2013-11-19

Office Location

Street Address 100 WEXFORD ST SE RM 214
City WYOMING
State MI
Zip Code 49548-2212

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205319811 Pooja Patel Social Worker Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 2018-09-10
1063906865 Kimberly Eccher Physician Assistant 300 68th St. Se, Grand Rapids, MI 49548 2018-06-15
1871099481 Baymark of Michigan, Inc. Clinic/Center 5500 Division Avenue Se, Kentwood, MI 49548 2018-04-03
1629507801 Laura Marie Quennoz Psychiatry & Neurology Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 2017-06-09
1821548504 Alison Anderson Technician, Other 103 Roth St Se, Grand Rapids, MI 49548 2016-10-06
1831540152 Jesse Aubil Counselor 264 Montebello St. Se 49548, Grand Rapids, MI 49548 2016-06-28
1306237920 Sarah Benton Social Worker 225 Colrain St Sw, 2, Grand Rapids, MI 49548 2015-02-18
1578996856 Karen Marie Irving Social Worker 3353 Lousma Dr. Se, Wyoming, MI 49548 2013-08-09
1740348044 Robert Kenneth Richmond Preventive Medicine 551 36th Street. Se, Wyoming, MI 49548 2006-12-05
1386738953 Sharita Montiez Hall Social Worker 300 68th Street Se, Grand Rapids, MI 49548 2006-10-03
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427658244 Hackley Community Care Center Inc Clinic/Center 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 2020-10-30
1760080972 Hackley Community Care Center Inc Clinic/Center 1420 Madison St Ste A, Muskegon, MI 49442-5251 2020-10-12
1831706993 Family Medical Center of Michigan, Inc Clinic/Center 503 Washington St Rm 150, Monroe, MI 48161-1309 2020-09-23
1326654666 Family Medical Center of Michigan,inc Clinic/Center 550 E Main St Ste 1001, Hudson, MI 49247-9535 2020-09-22
1922613975 Hackley Community Care Center Inc Clinic/Center 6245 Syers Rd Ste A, Holton, MI 49425-7557 2020-09-15
1700400389 Northwest Michigan Health Services, Inc. Clinic/Center 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 2020-05-30
1679195721 Family Medical Center of Michigan,inc Clinic/Center 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 2020-05-12
1235750571 Great Lakes Bay Health Centers Clinic/Center 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 2020-04-28
1053948265 Upper Great Lakes Family Health Center Clinic/Center 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 2020-03-26
1568096923 Grace Health, Inc. Clinic/Center 825 Capital Ave Ne, Battle Creek, MI 49017-5605 2020-02-25
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Competitor

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City WYOMING
Zip Code 49548

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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