BURTON HEALTH CENTER - NPI 1770656605 - Clinic/Center in Grand Rapids, MI

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

The NPI number for Cherry Street Services, Inc. is 1770656605. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as Burton 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.

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About Burton Health Center NPPES

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

BURTON HEALTH CENTER (NPI 1770656605) is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Rapids, Michigan and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Tasha Blackmon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770656605

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCHERRY STREET SERVICES, INC.

Location Address2135 BUCHANAN AVE SWGrand Rapids, MI 49507-2911

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

Phone(616) 247-3638

Fax(616) 247-0780

Organization SubpartNo

Authorized OfficialTasha BlackmonCeo · (616) 965-8215

Enumeration DateNovember 16, 2006

Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration

NPPES CertifiedAugust 25, 2023

✔ NPI 1770656605 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

2135 BUCHANAN AVE SW, Grand Rapids, MI 49507

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Other Names 1

Doing Business AsBurton 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 of Waiver 23D0991766

Burton Health Center · Grand Rapids, MI

Active · expires Aug 23, 2027

CLIA Number23D0991766

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateAugust 24, 2025

Certificate Expiration DateAugust 23, 2027

Laboratory DirectorDylan Streb

Laboratory Phone(616) 295-7750

Laboratory LocationBurton Health Center2135 Buchanan Avenue SW, Grand Rapids, MI 49507

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

CHRISTINE ANNE MUSHLOCK LMSW

Social Worker (Clinical)