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CH05203U CHERRY STREET SERVICES, INC. (Terminated)
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Main Details
Name
CHERRY STREET SERVICES, INC.
Subdivision Name
Cedar Springs School Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015059
340B ID
CH05203U
Grant Number
H80CS00770
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/28/2015
Last Recertification Date
2/8/2024
Termination Date
Termination Reason
7/1/2024
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
204 East Muskegon Street
Cedar Springs, MI 49319-9326
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
June 2025
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