CHERRY HEALTH - SOUTHSIDE HEALTH CENTER SUITE 200
NPI 1982279428
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Rapids, MI
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
About CHERRY HEALTH - SOUTHSIDE HEALTH CENTER SUITE 200
This page provides the complete NPI Profile along with additional information for Cherry Health - Southside Health Center Suite 200, a primary care provider established in Grand Rapids, Michigan operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1982279428 assigned on May 2021. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Cherry Health - Southside Health Center Suite 200 operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Cherry Health - Southside Health Center Suite 200. The authorized official of this NPI record is Tasha Blackmon (Ceo)
- NPI
- 1982279428 Verify this NPI
- Provider Legal Name
- CHERRY STREET SERVICES INC
- Other Organization Name
- CHERRY HEALTH - SOUTHSIDE HEALTH CENTER SUITE 200
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2303 KALAMAZOO AVE SE STE 200 GRAND RAPIDS, MI 49507
- Location Phone
- (616) 965-8379
- Location Fax
- (616) 940-5354
- Mailing Address
- 100 CHERRY ST SE GRAND RAPIDS, MI 49503
- Mailing Phone
- (616) 965-8209
- Mailing Fax
- (616) 940-5366
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-26-2021
- Last Update Date
- 08-31-2021
- Code Navigator
A primary care provider (PCP) like Cherry Health - Southside Health Center Suite 200 sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 3 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 4 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 5 | 207LA0401X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 6 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | |
| 7 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 8 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Local HMO Bronze Extra - HMO
- Blue Cross� Local HMO Bronze Secure - HMO
- Blue Cross� Local HMO Silver Extra - HMO
- Blue Cross� Local HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze Saver HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for CHERRY HEALTH - SOUTHSIDE HEALTH CENTER SUITE 200
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982279428, enumerated as an "organization" on May 26, 2021.
The provider is located at 2303 KALAMAZOO AVE SE STE 200 GRAND RAPIDS, MI 49507 and the phone number is (616) 965-8379.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
