The Salvation Army Booth Clinic
LBN: Cherry Street Services, Inc.
The Salvation Army Booth Clinic is an health care organization with primary practice located at 1215 Fulton St E , Grand Rapids MI 49503-3849. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Cherry Street Services, Inc. can be contacted via phone (616) 459-9468, or through Shea, Chris via phone (616) 776-2120.
Contact Information
Primary practice address
1215 Fulton St E
Grand Rapids MI 49503-3849
Phone: (616) 459-9468
Fax: (616) 459-7223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Dental Providers / Dentist | 122300000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1063586816 |
|---|---|
| LBN Legal business name | Cherry Street Services, Inc. |
| DBA Doing business as | The Salvation Army Booth Clinic |
| Authorized official | Shea, Chris |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Oct 19th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063586816 | NPPES |
| Michigan | Other | 231857 | FACILITY NUMBER |
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