OTTAWA HILLS HIGH SCHOOL HEALTH CENTER
NPI 1124187471
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Rapids, MI

Active since December 06, 2006CLIA 23D1045434 · Waiver
2055 ROSEWOOD AVE SE, GRAND RAPIDS, MI 49506(616) 776-5110(616) 776-5111 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ottawa Hills High School Health Center NPPES

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

OTTAWA HILLS HIGH SCHOOL HEALTH CENTER (NPI 1124187471) is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Rapids, Michigan and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Tasha Blackmon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124187471
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHERRY STREET SERVICES, INC.
Location Address2055 ROSEWOOD AVE SEGrand Rapids, MI 49506-5248
Mailing Address100 Cherry St SeGrand Rapids, MI 49503-4526 · (616) 965-8200 · Fax (616) 940-5366
Fax(616) 776-5111
Organization SubpartNo
Authorized OfficialTasha BlackmonCeo · (616) 965-8215
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 25, 2023
NPPES CertifiedAugust 25, 2023
NPI 1124187471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedDentistTaxonomy 122300000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
2055 ROSEWOOD AVE SE, Grand Rapids, MI 49506

Other Names 1

Doing Business AsOttawa Hills High School Health Center

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1045434

Ottawa Hills High School Health Center · Grand Rapids, MI
Active · expires Oct 18, 2027
CLIA Number23D1045434
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorJenny Bush
Laboratory Phone(616) 295-7750
Laboratory LocationOttawa Hills High School Health Center2055 Rosewood St SE, Grand Rapids, MI 49506
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dental Hygienist
2055 ROSEWOOD AVE SE
GRAND RAPIDS, MI 49506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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

The NPI number for Cherry Street Services, Inc. is 1124187471. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Ottawa Hills High School Health Center.

Where is Cherry Street Services, Inc. located?

Cherry Street Services, Inc. is located at 2055 Rosewood Ave SE, Grand Rapids, MI 49506. The listed phone number is (616) 776-5110.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Cherry Street Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1045434) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cherry Street Services, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Cherry Street Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cherry Street Services, Inc. was last updated on August 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.