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CHERRY STREET SERVICES INC. NPI 1689731507


NPI Information

NPI: 1689731507
Provider Name: CHERRY STREET SERVICES, INC.

Doing Business As: SCHOOL BASED PROGRAM MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
550 CHERRY ST SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 235-7272
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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 1689731507. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As School Based Program Medical.

The provider's business location address is:

550 CHERRY ST SE
GRAND RAPIDS, MI
ZIP 49503-748
Phone: (616) 235-7272
Fax: (616) 235-7605

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 1/2/2007 and was last updated on 10/19/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseMICHIGANNo
2207Q00000XFamily Medicine2800317MICHIGANYes

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

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