CHERRY STREET SERVICES INC. NPI 1386492171

NPI Information

  • NPI: 1386492171
  • Provider Name: CHERRY STREET SERVICES, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 204 E MUSKEGON ST
    CEDAR SPRINGS, MI
    ZIP 49319
  • Phone: (616) 696-3470

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NPI Details

CHERRY STREET SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Cedar Springs, MI. CHERRY STREET SERVICES, INC. NPI is 1386492171. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

204 E MUSKEGON ST
CEDAR SPRINGS, MI
ZIP 49319-326
Phone: (616) 696-3470

The provider's authorized official is Tasha Blackmon .
The authorized official title is Ceo and has the following contact phone number (616) 965-8200.

The enumeration date for this NPI number is 5/8/2024 and was last updated on 5/8/2024.

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
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalNo
3172V00000XCommunity Health WorkerNo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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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