CORNERSTONE URGENT CARE & FAMILY MEDICINE
NPI 1356126486
Clinic/Center in Bonners Ferry, ID
- Organization
- Clinic/Center
- CLIA Number: 13D2292263
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 10-22-2027
About CORNERSTONE URGENT CARE & FAMILY MEDICINE
This page provides the complete NPI Profile along with additional information for Cornerstone Urgent Care & Family Medicine, a provider established in Bonners Ferry, Idaho operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1356126486 assigned on August 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Ryan Gorman Dnp, Np-c (Executive Director)
- NPI
- 1356126486 Verify this NPI
- Provider Name
- CORNERSTONE URGENT CARE & FAMILY MEDICINE
- Entity Type
- Organization
- Location Address
- 32 DAVID THOMPSON DR STE A BONNERS FERRY, ID 83805
- Location Phone
- (208) 267-3934
- Mailing Address
- PO BOX 325 BONNERS FERRY, ID 83805
- Mailing Phone
- (208) 367-3934
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-28-2023
- Last Update Date
- 08-28-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2292263
- Facility Type
- Independent
- Certificate Effective Date
- October 23, 2025
- Certificate Expiration Date
- October 22, 2027
- Laboratory Director
- RYAN J. GORMAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Cornerstone Urgent Care & Family Medicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356126486, enumerated as an "organization" on August 28, 2023.
The provider is located at 32 DAVID THOMPSON DR STE A BONNERS FERRY, ID 83805 and the phone number is (208) 267-3934.
Clinic/Center with taxonomy code 261Q00000X.
