CHERRY STREET SERVICES, INC (NPI# 1447760517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447760517 |
| Entity Type | Organization |
| Organization Name | CHERRY STREET SERVICES, INC |
| Other Organization Name | CHERRY HEALTH - BARRY COMMUNITY HEALTH CENTER |
| Practice Address |
200 S Boltwood St Hastings MI 49058 |
| Mailing Address |
200 S Boltwood St Hastings MI 49058-1993 |
| Practice Telephone | 2699454220 |
| Practice Fax Number | 2699454229 |
| Mailing Telephone | 2699454220 |
| Mailing Fax Number | 2699454229 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2018-06-22 |
| Authorized Official Name | LINDA M CONSTANTINO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6167762128 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHERRY STREET SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Barry Community Health Center | Doing Business As Name - Organization |
| Cherry Health - Barry Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902024649 | Cherry Street Services, Inc | Clinic/Center | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2007-04-20 |
| 1780742015 | Cherry Street Services, Inc | Pediatrics | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2006-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Cherry Street Services, Inc. | 1029 E 8th Ave, 1204, Denver, CO 80218 |
| New York State Corporations | CHERRY STREET SERVICES, INC. | 525 Bayview Ave, Inwood, Ny 11096 |
| Street Address |
200 S BOLTWOOD ST |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790871093 | Stacia Gilde Marie Lagarde | Family Medicine | 200 S Boltwood St, Hastings, MI 49058-1926 | 2006-10-05 |
| 1447744727 | Chia-hui Neilly | Nurse Practitioner | 200 S Boltwood St, Hastings, MI 49058-1993 | 2018-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679822993 | Rural Health Care, Incorporated | Clinic/Center | 201 West Lattin Street, Hastings, FL 32145-4111 | 2012-08-31 |
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| Find all providers with the same taxonomy | ||||
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| 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.