Ottawa Hills High School Health Center

LBN: Cherry Street Services, Inc.
Ottawa Hills High School Health Center is an health care organization with primary practice located at 2055 Rosewood Ave Se , Grand Rapids MI 49506-5248. The organization recently has 5 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 / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Cherry Street Services, Inc. can be contacted via phone (616) 776-5110, or through Blackmon, Tasha via phone (616) 965-8215.

Contact Information

Primary practice address
2055 Rosewood Ave Se Grand Rapids MI 49506-5248
Phone: (616) 776-5110
Fax: (616) 776-5111
Website:
Map and Directions
Authorized official contact:
Name: Blackmon, Tasha
Phone: (616) 965-8215

Health care specialties

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

Profile Details

NPI number 1124187471
LBN Legal business name Cherry Street Services, Inc.
DBA Doing business as Ottawa Hills High School Health Center
Authorized official Blackmon, Tasha
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Aug 25th, 2023 - about last year

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.

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