THE VILLAGE DOCTOR AT CHERRY HILL
NPI 1629348792
Family Medicine in Canton, MI
About The Village Doctor At Cherry Hill NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE VILLAGE DOCTOR AT CHERRY HILL (NPI 1629348792) is a healthcare organization registered as a family medicine in Canton, Michigan and active in the NPI registry since January 2012. The organization holds a CLIA Microscopy certificate valid through January 18, 2028 and lists Kenneth J Grimm, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2035550
Cherry Hill Village Family Medicine PLLC · Canton, MIOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cherry Hill Village Family Medicine's NPI number?
The NPI number for Cherry Hill Village Family Medicine is 1629348792. It was assigned to this organization in the NPPES registry on January 6, 2012. The provider is doing business as The Village Doctor At Cherry Hill.
Where is Cherry Hill Village Family Medicine located?
Cherry Hill Village Family Medicine is located at 50439 Independence St, Canton, MI 48188. The listed phone number is (734) 879-1068.
What is Cherry Hill Village Family Medicine's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Cherry Hill Village Family Medicine hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D2035550) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Cherry Hill Village Family Medicine was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# The Village Doctor At Cherry Hill · NPI 1629348792
Family Medicine organization in Canton, Michigan. Organization record, active in the CMS NPPES registry since January 6, 2012.
## Identity
- **NPI:** 1629348792 (Entity type: Organization)
- **Enumerated:** January 6, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Cherry Hill Village Family Medicine
- **Organization subpart:** No
- **Authorized official:** Kenneth Grimm, MEMBER
## Practice location
- **Address:** 50439 INDEPENDENCE ST, Canton, MI 48188-6735
- **Phone:** (734) 879-1068
## Record status
- **NPPES last updated:** July 5, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629348792) · Data from the CMS NPPES public registry.