Cherry Street Services Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CHERRY STREET SERVICES INC

Doing business as

Eaton Community Health Center

Practice address

1033 Healthcare Dr
Charlotte, MI 48813-1058

Phone

(616) 965-8200

Fax

(616) 940-5366

NPI assigned

Jun 1, 2015

Last updated

Aug 14, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chris Shea

Title

Ceo

Phone

(616) 776-2129

Specialties & licenses 2

Addresses

Other names 1

• Eaton Community Health Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1427438944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHERRY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034526",
            "telephone_number": "616-965-8200",
            "fax_number": "616-940-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 HEALTHCARE DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131058",
            "telephone_number": "616-965-8200",
            "fax_number": "616-940-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY STREET SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-776-2129"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eaton Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlotte Family and Urgent Care Center, PC
• Charlotte Family Health, PC
• Charlotte Medical Center & Urgent Care
• Charlotte Medical Center and Urgent Care, PLLC
• Linda Murray Chermak, MD
• William Henry Clay, RPH
• Julia F Coenen, NP
• Matthew David Cohen, D.O.
• Gregory H Colbert, DPM
• Katie Cole

• Federally Qualified Health Center (FQHC) in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.