BONNER PARTNERS IN CARE CLINIC NPI 1063643690

NPI Information

BONNER PARTNERS IN CARE CLINIC is a community health clinic center in Sandpoint, ID. BONNER PARTNERS IN CARE CLINIC NPI is 1063643690. The provider is registered as an organization entity type.

The provider's business location address is:

1020 MICHIGAN ST
SANDPOINT, ID
ZIP 83864-788
Phone: (208) 255-9099
Fax: (208) 263-6963

The provider's authorized official is Catherine M Perusse .
The authorized official title is Clinic Director and has the following contact phone number (208) 255-9099.

The CLIA number assigned to this NPI record is 13D2088880 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2009 and was last updated on 7/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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