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CH052030 CHERRY STREET SERVICES, INC. (Active)
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Main Details
Name
CHERRY STREET SERVICES, INC.
Subdivision Name
CHERRY STREET HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001701
340B ID
CH052030
Grant Number
H80CS00770
Additional Details
Current Program Status
Active
Registration Date
7/1/2002
Participating Start Date
7/1/2002
Participating Approval Date
8/18/2009
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
550 Cherry St SE
Grand Rapids, MI 49503-4748
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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8/18/09 CORRECTED PHYSICAL AND BILL TO ADDR; 12/12/07- UPDATED BILLING ADD (WAS 550 CHERRY STREET, S.E.) 2/16/12-CHANGED BILLING ADDRESS-WAS 540 CHERRY STREET, S.E.
02/16/2012
8/18/09 CORRECTED PHYSICAL AND BILL TO ADDR; 12/12/07- UPDATED BILLING ADD (WAS 550 CHERRY STREET, S.E.)
08/18/2009
April 2025
April 2025
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