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CH05203K CHERRY STREET SERVICES, INC. (Active)
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Main Details
Name
CHERRY STREET SERVICES, INC.
Subdivision Name
INNOVATION CENTRAL HIGH SCHOOL HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018584
340B ID
CH05203K
Grant Number
H80CS00770
Additional Details
Current Program Status
Active
Registration Date
6/13/2006
Participating Start Date
7/1/2006
Participating Approval Date
6/13/2006
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
421 Fountain St NE
RM 29
Grand Rapids, MI 49503
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 THE BILLING ADDRESS, WAS 540 CHERRY STREET, S.E.
02/16/2012
May 2025
May 2025
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