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Cherry Street Services, Inc.

Federally Qualified Health Center (FQHC) in Grand Rapids, MI · enumerated 2006 · authorized official Tasha Blackmon, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770656605

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Registry record

Entity type Organization (Type 2)
Legal business name Cherry Street Services, Inc.
Other name <Unavail>
Practice address 2135 Buchanan Ave Sw, Grand Rapids, MI, 49507
Phone (616) 247-3638
Fax (616) 247-0780
Enumeration date Nov 16, 2006
Last updated in NPPES Aug 25, 2023

Taxonomy & classification

104100000X Social Worker Behavioral Health & Social Service Providers Secondary
122300000X Dentist Dental Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Tasha Blackmon
Title Ceo
Phone (616) 965-8215

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-08-25. Verify at npiregistry.cms.hhs.gov.
Where is Cherry Street Services, Inc. located?
The practice location on file with NPPES is in Grand Rapids, MI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-25.