CHERRY STREET SERVICES INC. NPI 1154495901

NPI Information

  • NPI: 1154495901
  • Provider Name: CHERRY STREET SERVICES, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: BELKNAP COMMONS HEALTH CENTER
  • CLIA Number: 23D0937763
  • Address: 751 LAFAYETTE AVE NE
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 742-9945

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NPI Details

CHERRY STREET SERVICES, INC. is a family medicine in Grand Rapids, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHERRY STREET SERVICES, INC. NPI is 1154495901. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Belknap Commons Health Center.

The provider's business location address is:

751 LAFAYETTE AVE NE
GRAND RAPIDS, MI
ZIP 49503-628
Phone: (616) 742-9945
Fax: (616) 742-9967

The provider's authorized official is Chris Shea .
The authorized official title is Ceo and has the following contact phone number (616) 776-2129.

The CLIA number assigned to this NPI record is 23D0937763 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 9/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2122300000XDentistNo
31041C0700XSocial WorkerClinicalNo
4207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1231867OTHERMICHIGANFACILITY ID
2231867MEDICARE OSCAR/CERTIFICATIONMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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