CHERRY STREET SERVICES INC
NPI 1316340094
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Rapids, MI

Active since October 08, 2014
421 FOUNTAIN ST NE, GRAND RAPIDS, MI 49503(616) 965-8200 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cherry Street Services Inc NPPES

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

CHERRY STREET SERVICES INC (NPI 1316340094) is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Rapids, Michigan and active in the NPI registry since October 2014. The organization lists Tasha Blackmon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316340094
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHERRY STREET SERVICES INC
Location Address421 FOUNTAIN ST NEGrand Rapids, MI 49503-3334
Mailing Address100 Cherry St SeGrand Rapids, MI 49503-4526 · (616) 965-8200
Organization SubpartYesParent: Cherry Street Services, Inc.
Authorized OfficialTasha BlackmonCeo · (616) 965-8200
Enumeration DateOctober 8, 2014
Last NPPES UpdateJune 25, 2024
NPPES CertifiedJune 25, 2024
NPI 1316340094 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 Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
421 FOUNTAIN ST NE, Grand Rapids, MI 49503

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

Other Providers at the Same Location NPPES

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

Physician Assistant
421 FOUNTAIN ST NE
GRAND RAPIDS, MI 49503

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 1316340094. It was assigned to this organization in the NPPES registry on October 8, 2014.

Where is Cherry Street Services Inc located?

Cherry Street Services Inc is located at 421 Fountain St NE, Grand Rapids, MI 49503. The listed phone number is (616) 965-8200.

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.

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 June 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.