Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Perpetual Family Medicine

Organization Family Medicine Physician · NPI 1194533992

Perpetual Family Medicine is a Family Medicine Physician in Coeur D Alene, Idaho. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1717 Lincoln Way Ste 108
Coeur D Alene, ID 83814-2556
Phone: (208) 480-6174
Fax: (208) 601-6174
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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 number1194533992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Martindale — Owner/Provider · (208) 480-6174
NPI enumeratedDecember 26, 2024
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address1717 Lincoln Way Ste 108, Coeur D Alene, ID 83814-2556

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