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CH05203E CHERRY STREET SERVICES, INC. (Active)
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Main Details
Name
CHERRY STREET SERVICES, INC.
Subdivision Name
FERGUSON DENTAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002914
340B ID
CH05203E
Grant Number
H80CS00770
Additional Details
Current Program Status
Active
Registration Date
12/4/2006
Participating Start Date
1/1/2007
Participating Approval Date
12/5/2006
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
101 Sheldon Blvd SE
Grand Rapids, MI 49503-4262
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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2/16/12-CHANGED THE BILLING ADDRESS-WAS 101 SHELDON SE.
02/16/2012
April 2025
April 2025
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