CHERRY HILL CLINIC LLC NPI 1780193920

NPI Information

  • NPI: 1780193920
  • Provider Name: CHERRY HILL CLINIC, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: CHERRY HILL CLINIC
  • Address: 1160 E HIGH POINT LN
    COLUMBIA, MO
    ZIP 65203
  • Phone: (352) 226-7603

Map and Directions

Get Directions

NPI Details

CHERRY HILL CLINIC, LLC is a family medicine in Columbia, MO. The provider is 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. CHERRY HILL CLINIC, LLC NPI is 1780193920. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cherry Hill Clinic.

The provider's business location address is:

1160 E HIGH POINT LN
COLUMBIA, MO
ZIP 65203-335
Phone: (352) 226-7603

The provider's authorized official is Ellen Dukate .
The authorized official title is Credentialing Specialist and has the following contact phone number (904) 515-2625.

The enumeration date for this NPI number is 9/20/2017 and was last updated on 9/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12011003501OTHERMISSOURIMD LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI