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Perpetual Family Medicine PLLC

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Company Details

Name: Perpetual Family Medicine PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 23 Dec 2024 (6 months ago)
Financial Date End: 31 Dec 2025
Entity Number: 6034272
Place of Formation: IDAHO
File Number: 969419
ZIP code: 83814
County: Kootenai County
Principal Address: STE 108 1717 LINCOLN WAY COEUR D ALENE, ID 83814
Mailing Address: PERPETUAL FAMILY MEDICINE STE 108 1717 LINCOLN WAY COEUR D ALENE, ID 83814-2556

Agent

Name Role Address
ALL DAY $49 IDAHO REGISTERED AGENT LLC Agent 784 S CLEARWATER LOOP STE F, POST FALLS, ID 83854

National Provider Identifier

NPI Number:
1194533992
Certification Date:
2025-03-03

Authorized Person:

Name:
MARK CHRISTOPHER MARTINDALE
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2086016174

Filing

Filing Name Filing Number Filing date
Initial Filing 0006034272 2024-12-23

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State