MUSKEGON RECOVERY CENTER – NPI #1346600905
Clinic/Center

MUSKEGON RECOVERY CENTER is an AHC clinic located in MUSKEGON, MI. NPPES has assigned the NPI number 1346600905 to MUSKEGON RECOVERY CENTER on February 25, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MUSKEGON RECOVERY CENTER” is a dba name, the actual legal business name for this organization is CHERRY STREET SERVICES INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC) Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on Aug 25, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MUSKEGON RECOVERY CENTER below.

NPI Profile for
CHERRY STREET SERVICES INC

NPI Number
1346600905
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHERRY STREET SERVICES INC
Doing Business As (dba): MUSKEGON RECOVERY CENTER
Primary location
1611 OAK AVE
MUSKEGON, MI 49442-2468
Phone: (616) 965-8200 Fax: (616) 940-5366
Mailing address
100 CHERRY ST SE
GRAND RAPIDS, MI 49503-4526
Phone: (616) 965-8200 Fax: (616) 940-5366
Organization Subpart
Yes - MUSKEGON RECOVERY CENTER is subpart of another organization.
Authorized Official
TASHA BLACKMON
CEO
Phone: (616) 965-8215
Updated
Certification Date
Aug 25, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.