NPIMap

Cherry Street Services Inc

A Medicare group practice based in Grand Rapids, MI: 26 NPIs enrolled under one PECOS associate control ID (PAC ID 6800707647), with 133 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6800707647The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
MI
Enrollments
22
Group size
58 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
23In 8 places

Enrollment records 22

Enrollment IDStateProvider typeNPI
O20030725000027 MI Part A Provider - Federally Qualified Health Center (FQHC) 1669530986
O20040804000274 MI Part B Supplier - Clinic/Group Practice 1558459164
O20080618000760 MI Part A Provider - Federally Qualified Health Center (FQHC) 1942498670
O20120313000985 MI Part A Provider - Federally Qualified Health Center (FQHC) 1386926004
O20100818000761 MI Part A Provider - Federally Qualified Health Center (FQHC) 1770656605
O20100825000836 MI Part A Provider - Federally Qualified Health Center (FQHC) 1558459164
O20100818000970 MI Part A Provider - Federally Qualified Health Center (FQHC) 1891867495
O20230111002446 MI Part A Provider - Federally Qualified Health Center (FQHC) 1215414800
O20230927001593 MI Part A Provider - Federally Qualified Health Center (FQHC) 1609555218
O20240821003729 MI Part A Provider - Federally Qualified Health Center (FQHC) 1831955251
O20240611002533 MI Part A Provider - Federally Qualified Health Center (FQHC) 1386492171
O20211213000519 MI Part A Provider - Federally Qualified Health Center (FQHC) 1982279428
O20200403000481 MI Part A Provider - Federally Qualified Health Center (FQHC) 1265081418
O20200409000139 MI Part B Supplier - Opioid Treatment Program (Otp) 1386926004
O20201019002077 MI Part A Provider - Federally Qualified Health Center (FQHC) 1104423508
O20121023000498 MI Part A Provider - Federally Qualified Health Center (FQHC) 1184974263
O20170105000134 MI Part A Provider - Federally Qualified Health Center (FQHC) 1346600905
O20161117000608 MI Part A Provider - Federally Qualified Health Center (FQHC) 1316340094
O20131205001930 MI Part A Provider - Federally Qualified Health Center (FQHC) 1982764643
O20131205001914 MI Part A Provider - Federally Qualified Health Center (FQHC) 1124187471
O20150528002626 MI Part A Provider - Federally Qualified Health Center (FQHC) 1184015539
O20180116000097 MI Part A Provider - Federally Qualified Health Center (FQHC) 1447760517

NPIs in this group 26

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 133

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (133) or whom Care Compare lists as members (58).

Sources for this page