Perpetual Family Medicine
Family Medicine in Coeur D Alene, ID. Organization (NPI-2).
Details
- NPI
- 1194533992
- Entity type
- Organization (NPI-2)
- Legal business name
- Perpetual Family Medicine
- Organization subpart
- No
- Enumeration date
- Dec 26, 2024
- Certification date
- Mar 3, 2025
- Last updated
- Mar 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1717 Lincoln Way Ste 108Coeur D Alene, ID 83814-2556
Phone 208-480-6174 · Fax 208-601-6174
Mailing address
1717 Lincoln Way Ste 108Coeur D Alene, ID 83814-2556
Phone 208-480-6174 · Fax 208-601-6174
Authorized official
Mark Christopher Martindale
Owner/Provider
2084806174
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 98 Family Medicine Physician providers in Coeur D Alene · All 2,988 providers in Coeur D Alene
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