CHERRY STREET SERVICES INC NPI 1447760517

NPI Information

NPI: 1447760517
Provider Name: CHERRY STREET SERVICES, INC

Doing Business As: CHERRY HEALTH - BARRY COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
200 S BOLTWOOD ST
HASTINGS, MI
ZIP 49058
Phone: (269) 945-4220
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CHERRY STREET SERVICES, INC is a federally qualified health center (fqhc) clinic center in Hastings, MI. CHERRY STREET SERVICES, INC NPI is 1447760517. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cherry Health - Barry Community Health Center.

The provider's business location address is:

200 S BOLTWOOD ST
HASTINGS, MI
ZIP 49058
Phone: (269) 945-4220
Fax: (269) 945-4229

The provider's authorized official is Tasha Blackmon .
The authorized official title is Chief Executive Officer and has the following contact phone number (616) 965-8215.

The enumeration date for this NPI number is 10/3/2017 and was last updated on 8/25/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	122300000X	Dentist		No
3	163W00000X	Registered Nurse		No
4	207Q00000X	Family Medicine		No
5	207QA0505X	Family Medicine	Adult Medicine	No
6	207R00000X	Internal Medicine		No
7	208000000X	Pediatrics		No
8	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

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: 5/5/2024

NPI Synchronization or Removal

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