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CH05203Q CHERRY STREET SERVICES, INC. (Terminated)
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Main Details
Name
CHERRY STREET SERVICES, INC.
Subdivision Name
Leonard Street Counseling Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011135
340B ID
CH05203Q
Grant Number
H80CS00770
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/16/2013
Last Recertification Date
2/21/2023
Termination Date
Termination Reason
7/1/2023
Business decision by the Covered Entity
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
1400 Leonard St NE
Grand Rapids, MI 49505-5515
Billing Address
Cherry Street Services, Inc
100 Cherry St 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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