Organization

Cherry Street Services, Inc.

May also be knows as Belknap Commons Health Center

Family Medicine Physician in Grand Rapids, MI(View on Map)

Legal Business Name

Cherry Street Services, Inc.

Also Known As

Belknap Commons Health Center

NPI Number

1154495901

NPI Type

Organization

Enumeration Date

11/20/2006

Specialties

(Taxonomies)

Code

207Q00000X
1041C0700X
122300000X
207R00000X

Primary Taxonomy

Yes
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

100 CHERRY ST SE
751 LAFAYETTE AVE NE

City

Grand Rapids
Grand Rapids

State

MI
MI

Postal Code

49503-4526
49503-1628

Country

US
US

Telephone Number

(616) 776-2370
(616) 742-9945

Authorized Official

Name

Chris Shea

Title or Position

CEO

Telephone Number

(616) 776-2129

Identifiers

Identifier

231867

Identifier State

MI

Identifier Issuer

FACILITY ID

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/11/2015

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