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CH05203F CHERRY STREET SERVICES, INC. (Active)
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Main Details
Name
CHERRY STREET SERVICES, INC.
Subdivision Name
UNION HIGH SCHOOL HEALTH CENTER - RM128
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003795
340B ID
CH05203F
Grant Number
H80CS00770
Additional Details
Current Program Status
Active
Registration Date
7/1/2003
Participating Start Date
7/1/2003
Participating Approval Date
7/1/2003
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Cherry Street Services Inc
Tasha Blackmon, CEO
(616) 965-8215
Primary Contact
Cherry Street Services Inc
Brett Gingrich, Pharmacy Director
(616) 965-8278 Ext: 7139
Addresses
Street Address
1800 TREMONT BLVD, NW
RM 128
GRAND RAPIDS, MI 49504-4868
Billing Address
CHERRY STREET SERVICES, INC
100 CHERRY STREET S.E.
GRAND RAPIDS, MI 49503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/16/12-CHANGED BILLING ADDRESS-WAS 1800 TREMONT BLVD, NW.
02/16/2012
June 2025
June 2025
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