WESTSIDE HEALTH CENTER
NPI 1891867495
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Rapids, MI

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

The NPI number for Cherry Street Services, Inc. is 1891867495. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Westside 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 November 15, 2006CLIA 23D0959092 · Microscopy

669 STOCKING AVE NW, GRAND RAPIDS, MI 49504(616) 235-1480(616) 458-8102 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Westside Health Center NPPES

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

WESTSIDE HEALTH CENTER (NPI 1891867495) 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 Microscopy certificate valid through March 31, 2027 and lists Tasha Blackmon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891867495

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCHERRY STREET SERVICES, INC.

Location Address669 STOCKING AVE NWGrand Rapids, MI 49504-5176

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

Phone(616) 235-1480

Fax(616) 458-8102

Organization SubpartNo

Authorized OfficialTasha BlackmonCeo · (616) 965-8200

Enumeration DateNovember 15, 2006

Last NPPES UpdateMay 7, 2018

✔ NPI 1891867495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

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

Taxonomy Code261QF0400X

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedDentistTaxonomy 122300000X

Also ListedNutritionistTaxonomy 133N00000X

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPediatricsTaxonomy 208000000X

669 STOCKING AVE NW, Grand Rapids, MI 49504

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Other Names 1

Doing Business AsWestside 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) 23D0959092

Westside Health Center · Grand Rapids, MI

Active · expires Mar 31, 2027

CLIA Number23D0959092

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateApril 1, 2025

Certificate Expiration DateMarch 31, 2027

Laboratory DirectorRebecca A. Vanvalkenburg

Laboratory Phone(616) 295-7750

Laboratory LocationWestside Health Center669 Stocking Ave NW, Grand Rapids, MI 49504

CLIA data matches this NPI record on: Address Name

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 20

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

LISA NICOLE-CIZEK BOCZAR LMSW

Social Worker (Clinical)