WYOMING COMMUNITY HEALTH CENTER
NPI 1184974263
Clinic/Center - Federally Qualified Health Center (FQHC) in Wyoming, MI

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

The NPI number for Cherry Street Services Inc is 1184974263. It was assigned to this organization in the NPPES registry on September 14, 2012. The provider is doing business as Wyoming Community Health Center.

Q: 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.

Active since September 14, 2012CLIA 23D2047786 · Microscopy

2929 BURLINGAME AVE SW, WYOMING, MI 49509(616) 965-8333(616) 940-5820 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2024, Dec 29, 2021 (2 updates tracked since 2021).

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About Wyoming Community Health Center NPPES

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

WYOMING COMMUNITY HEALTH CENTER (NPI 1184974263) is a healthcare organization registered as a federally qualified health center (fqhc) in Wyoming, Michigan and active in the NPI registry since September 2012. The organization holds a CLIA Microscopy certificate valid through June 25, 2027 and lists Tasha Blackmon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184974263

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCHERRY STREET SERVICES INC

Location Address2929 BURLINGAME AVE SWWyoming, MI 49509-2609

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

Phone(616) 965-8333

Fax(616) 940-5820

Organization SubpartYesParent: Cherry Street Services

Authorized OfficialTasha BlackmonCeo · (616) 965-8200

Enumeration DateSeptember 14, 2012

Last NPPES UpdateMay 17, 20242 updates tracked since enumeration

NPPES CertifiedMay 17, 2024

✔ NPI 1184974263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedDentistTaxonomy 122300000X

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedOptometristTaxonomy 152W00000X

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

2929 BURLINGAME AVE SW, Wyoming, MI 49509

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Other Names 1

Doing Business AsWyoming Community 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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 for Provider-Performed Microscopy Procedures (PPMP) 23D2047786

Wyoming Community Health Center · Wyoming, MI

Active · expires Jun 25, 2027

CLIA Number23D2047786

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJune 26, 2025

Certificate Expiration DateJune 25, 2027

Laboratory DirectorJerrica Kallio

Laboratory Phone(616) 965-8200

Laboratory LocationWyoming Community Health Center2929 Burlingame Avenue S W, Wyoming, MI 49509

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

DR. DANIEL ALEJANDRO CABRERA D.D.S.

Dentist