Wyoming Community Health Center

LBN: Cherry Street Services Inc
Wyoming Community Health Center is an health care organization with primary practice located at 2929 Burlingame Ave Sw , Wyoming MI 49509-2609. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Social Worker, Dental Providers / Dentist, Dietary & Nutritional Service Providers / Dietitian, Registered, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Optician, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal 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) 965-8333, or through Blackmon, Tasha via phone (616) 965-8200.

Contact Information

Primary practice address
2929 Burlingame Ave Sw Wyoming MI 49509-2609
Phone: (616) 965-8333
Fax: (616) 940-5820
Website:
Map and Directions
Authorized official contact:
Name: Blackmon, Tasha
Phone: (616) 965-8200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Dental Providers / Dentist 122300000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Optician 156FX1800X
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1184974263
LBN Legal business name Cherry Street Services Inc
DBA Doing business as Wyoming Community Health Center
Authorized official Blackmon, Tasha
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 14th, 2012
Last updated May 17th, 2024 - about 4 months 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.

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