| Cherry Street Services Inc | |
|
4873 16 Mile Rd Ne Cedar Springs MI 49319-8435 | |
| (616) 696-7330 | |
| (616) 696-3123 |
| Full Name | Cherry Street Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4873 16 Mile Rd Ne, Cedar Springs, Michigan |
| Authorized Official Name and Position | Tasha Blackmon (CEO) |
| Authorized Official Contact | 6169658200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Street Services Inc 100 Cherry St Se Grand Rapids MI 49503-4526 Ph: (616) 965-8200 | Cherry Street Services Inc 4873 16 Mile Rd Ne Cedar Springs MI 49319-8435 Ph: (616) 696-7330 |
| NPI Number | 1184015539 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 05/08/2024 |
| Medicare PECOS PAC ID | 6800707647 |
|---|---|
| Medicare Enrollment ID | O20150528002626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184015539 | NPI | - | NPPES |
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