CHERRY STREET SERVICES INC. NPI 1669530986

NPI Information

NPI: 1669530986
Provider Name: CHERRY STREET SERVICES, INC.

Other Name: HEART OF THE CITY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
100 CHERRY ST SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 965-8200
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CHERRY STREET SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Grand Rapids, MI. CHERRY STREET SERVICES, INC. NPI is 1669530986. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Heart Of The City Health Center.

The provider's business location address is:

100 CHERRY ST SE
GRAND RAPIDS, MI
ZIP 49503-526
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) 776-2120.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 10/14/2019.

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	101YM0800X	Counselor	Mental Health			No
2	103TB0200X	Psychologist	Cognitive & Behavioral			No
3	103TC0700X	Psychologist	Clinical			No
4	103TP2701X	Psychologist	Group Psychotherapy			No
5	104100000X	Social Worker			MICHIGAN	No
6	122300000X	Dentist				No
7	133V00000X	Dietitian, Registered				No
8	163W00000X	Registered Nurse				No
9	183500000X	Pharmacist		5301009686	MICHIGAN	No
10	207Q00000X	Family Medicine				No
11	207R00000X	Internal Medicine			MICHIGAN	No
12	207W00000X	Ophthalmology				No
13	208000000X	Pediatrics				No
14	261QF0400X	Clinic/Center	Federally 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: 11/14/2023

NPI Synchronization or Removal

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