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CHERRY LANE FAMILY CLINIC, PA
NPI 1962554063
Family Medicine in Meridian, ID

Active since January 17, 2007
1001 N MERIDIAN RD, MERIDIAN, ID 83642(208) 884-4800(208) 884-4802 Get Directions Write a Review

NPPES record last updated: September 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cherry Lane Family Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERRY LANE FAMILY CLINIC, PA (NPI 1962554063) is a healthcare organization registered as a family medicine in Meridian, Idaho and active in the NPI registry since January 2007. The organization lists Timothy Mchugh, Owner, as its authorized official.

NPPES Registry Identity

NPI1962554063
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHERRY LANE FAMILY CLINIC, PA
Location Address1001 N MERIDIAN RDMeridian, ID 83642-1610
Mailing Address1001 N Meridian RdMeridian, ID 83642-1610 · (208) 884-4800 · Fax (208) 884-4802
Phone(208) 884-4800
Fax(208) 884-4802
Organization SubpartNo
Authorized OfficialTimothy MchughOwner · (208) 884-4800
Enumeration DateJanuary 17, 2007
Last NPPES UpdateSeptember 14, 2010
✔ NPI 1962554063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1001 N MERIDIAN RD, Meridian, ID 83642
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Other Identifiers 3

Medicare PINCK5527ID
Medicare UPIN1371673
Medicare ID-Type Unspecified1371673

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROYTMAN DDS, P.C.
Dentist (General Practice)
1001 N MERIDIAN RD
MERIDIAN, ID 83642
Ada County (415) 584-8500
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Family Medicine
1001 N MERIDIAN RD
MERIDIAN, ID 83642
Ada County (208) 888-5406

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 Lane Family Clinic, PA's NPI number?

The NPI number for Cherry Lane Family Clinic, PA is 1962554063. It was assigned to this organization in the NPPES registry on January 17, 2007.

Where is Cherry Lane Family Clinic, PA located?

Cherry Lane Family Clinic, PA is located at 1001 N Meridian Rd, Meridian, ID 83642. The listed phone number is (208) 884-4800.

What is Cherry Lane Family Clinic, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cherry Lane Family Clinic, PA was last updated on September 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.