Southside Health Center

LBN: Cherry Street Services Inc
Southside Health Center is an health care organization with primary practice located at 2303 Kalamazoo Ave Se , Grand Rapids MI 49507-3780. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Addiction Medicine, 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) 965-8390, or through Blackmon, Tasha via phone (616) 965-8215.

Contact Information

Primary practice address
2303 Kalamazoo Ave Se Grand Rapids MI 49507-3780
Phone: (616) 965-8390
Fax: (616) 254-8192
Website:
Map and Directions
Authorized official contact:
Name: Blackmon, Tasha
Phone: (616) 965-8215

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1386926004
LBN Legal business name Cherry Street Services Inc
DBA Doing business as Southside Health Center
Authorized official Blackmon, Tasha
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 20th, 2011
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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