Bonner Partners in Care Clinic

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

BONNER PARTNERS IN CARE CLINIC

Practice address

1020 Michigan St
Sandpoint, ID 83864-1788

Phone

(208) 255-9099

Fax

(208) 263-6963

NPI assigned

Jul 30, 2009

Last updated

Jul 30, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Catherine M Perusse

Title

Clinic Director

Phone

(208) 255-9099

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary R Fiedler, NP

  • Women's Health Nurse Practitioner
  • Sandpoint, ID
  • NPI 1871560995
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1063643690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MICHIGAN ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641788",
            "telephone_number": "208-255-9099",
            "fax_number": "208-263-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MICHIGAN ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641788",
            "telephone_number": "208-255-9099",
            "fax_number": "208-263-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNER PARTNERS IN CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "PERUSSE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "208-255-9099"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonner General Hospital, Inc (Bonner General Behavioral Health)
• Bonner General Hospital, Inc (Sandpoint Womens Health)
• Bonner General Hospital, Inc. (Bonner General Family and Internal Medicine)
• Bonner General Hospital, Inc. (Bonner Community Hospice)
• Bonner General Hospital, Inc. (Bonner General Hospital)
• Bonner Physical Therapy P.C.
• Bonner Professional Compounding
• Bonner Professional Compounding
• Laura Bonneville, NCC
• Dawn Borkowski

• Community Health Clinic/Center in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Community Health Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.