CHERRY STREET SERVICES INC – NPI #1396165601
Family Medicine

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 is a provider located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1396165601 to CHERRY STREET SERVICES INC on April 25, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. 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 Oct 10, 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 CHERRY STREET SERVICES INC below.

NPI Profile for
CHERRY STREET SERVICES INC

NPI Number
1396165601
Enumeration Date

(more than 12 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
Primary location
100 CHERRY STREET
GRAND RAPIDS, MI 49503
Phone: (616) 965-8200 Fax:
Mailing address
100 CHERRY STREET SE
GRAND RAPIDS, MI 49503
Phone: (616) 965-8200 Fax: (616) 940-5366
Organization Subpart
No
Authorized Official
TASHA BLACKMON
CEO
Phone: (616) 776-2128
Updated
Certification Date
Oct 10, 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.