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CH05203AC CHERRY STREET SERVICES INC (Active)
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Main Details
Name
CHERRY STREET SERVICES INC
Subdivision Name
Godwin Heights Senior High School Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036842
340B ID
CH05203AC
Grant Number
H80CS00770
Additional Details
Current Program Status
Active
Registration Date
10/14/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/15/2024
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
50 35th St SW
RM 100
Grand Rapids, MI 49548-2100
Billing Address
Cherry Street Services, Inc.
100 Cherry Street SE
Grand Rapids, MI 49503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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