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PERPETUAL FAMILY MEDICINE
NPI 1194533992
Family Medicine in Coeur D Alene, ID

Active since December 26, 2024CLIA 13D2318752 · Waiver
1717 LINCOLN WAY STE 108, COEUR D ALENE, ID 83814(208) 480-6174(208) 601-6174 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Mar 1, 2025, Feb 6, 2025 and 1 more (4 updates tracked since 2024).

About Perpetual Family Medicine NPPES

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

PERPETUAL FAMILY MEDICINE (NPI 1194533992) is a healthcare organization registered as a family medicine in Coeur D Alene, Idaho and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through February 17, 2027 and lists Mark Christopher Martindale, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1194533992
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePERPETUAL FAMILY MEDICINE
Location Address1717 LINCOLN WAY STE 108Coeur D Alene, ID 83814-2556
Mailing Address1717 Lincoln Way Ste 108Coeur D Alene, ID 83814-2556 · (208) 480-6174 · Fax (208) 601-6174
Phone(208) 480-6174
Fax(208) 601-6174
Organization SubpartNo
Authorized OfficialMark Christopher MartindaleOwner/provider · (208) 480-6174
Enumeration DateDecember 26, 2024
Last NPPES UpdateMarch 3, 20254 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1194533992 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.
1717 LINCOLN WAY STE 108, Coeur D Alene, ID 83814
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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

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 of Waiver 13D2318752

Perpetual Family Medicine · Coeur D'alene, ID
Active · expires Feb 17, 2027
CLIA Number13D2318752
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorMark C. Martindale
Laboratory Phone(949) 874-4107
Laboratory LocationPerpetual Family Medicine1717 Lincoln Way Ste 108, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Perpetual Family Medicine's NPI number?

The NPI number for Perpetual Family Medicine is 1194533992. It was assigned to this organization in the NPPES registry on December 26, 2024.

Where is Perpetual Family Medicine located?

Perpetual Family Medicine is located at 1717 Lincoln Way Ste 108, Coeur D Alene, ID 83814. The listed phone number is (208) 480-6174.

What is Perpetual Family Medicine's specialty?

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

Does Perpetual Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2318752) is associated with this NPI, valid through February 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Perpetual Family Medicine was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.