CHERRY STREET SERVICES INC NPI 1427438944

NPI Information

NPI: 1427438944
Provider Name: CHERRY STREET SERVICES INC

Doing Business As: EATON COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1033 HEALTHCARE DR
CHARLOTTE, MI
ZIP 48813
Phone: (616) 965-8200
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CHERRY STREET SERVICES INC is a federally qualified health center (fqhc) clinic center in Charlotte, MI. CHERRY STREET SERVICES INC NPI is 1427438944. The provider is registered as an organization entity type.
The provider Is Doing Business As Eaton Community Health Center.

The provider's business location address is:

1033 HEALTHCARE DR
CHARLOTTE, MI
ZIP 48813-058
Phone: (616) 965-8200
Fax: (616) 940-5366

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 enumeration date for this NPI number is 6/1/2015 and was last updated on 8/14/2015.

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
1	261QH0100X	Clinic/Center	Health Service			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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
1	=========	OTHER	MICHIGAN	TIN

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: 5/5/2024

NPI Synchronization or Removal

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