Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Cherry Lane Family Clinic, PA

Organization Family Medicine Physician · NPI 1962554063

Cherry Lane Family Clinic, PA provides Family Medicine Physician services in Meridian, Idaho. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 N Meridian Rd
Meridian, ID 83642-1610 Not confirmed with CMS for 16 years — call before visiting
Phone: (208) 884-4800
Fax: (208) 884-4802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1962554063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy McHugh — Owner · (208) 884-4800
NPI enumeratedJanuary 17, 2007
Last updated in NPPESSeptember 14, 2010
Mailing address1001 N Meridian Rd, Meridian, ID 83642-1610

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