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CH05203W CHERRY STREET SERVICES, INC. (Terminated)
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Main Details
Name
CHERRY STREET SERVICES, INC.
Subdivision Name
Eaton Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014999
340B ID
CH05203W
Grant Number
H80CS00770
Additional Details
Current Program Status
Terminated
Registration Date
10/7/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/20/2015
Last Recertification Date
2/5/2021
Termination Date
Termination Reason
7/1/2021
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
1033 HEALTHCARE DR
CHARLOTTE, MI 48813-1058
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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June 2025
June 2025
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