THE SALVATION ARMY BOOTH CLINIC - NPI 1063586816 - Family Medicine in Grand Rapids, MI

Q: What is Cherry Street Services, Inc.'s NPI number?

The NPI number for Cherry Street Services, Inc. is 1063586816. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is doing business as The Salvation Army Booth Clinic.

Q: What is Cherry Street Services, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About The Salvation Army Booth Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SALVATION ARMY BOOTH CLINIC (NPI 1063586816) is a healthcare organization registered as a family medicine in Grand Rapids, Michigan and active in the NPI registry since November 2006. The organization lists Chris Shea, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063586816

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCHERRY STREET SERVICES, INC.

Location Address1215 FULTON ST EGrand Rapids, MI 49503-3849

Mailing Address100 Cherry St SeGrand Rapids, MI 49503-4526 · (616) 965-8200 · Fax (616) 940-5366

Phone(616) 459-9468

Fax(616) 459-7223

Organization SubpartNo

Authorized OfficialChris SheaCeo · (616) 776-2120

Enumeration DateNovember 20, 2006

Last NPPES UpdateOctober 19, 2012

✔ NPI 1063586816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedDentistTaxonomy 122300000X

1215 FULTON ST E, Grand Rapids, MI 49503

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Other Names 1

Doing Business AsThe Salvation Army Booth Clinic

Other Identifiers 2

Medicare OSCAR/certification231857MI

Other231857MI · Facility Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID MITCHELL

Counselor (Addiction (Substance Use Disorder))