Caribou Medical Center

LBN: Caribou Medical Center, Inc
Caribou Medical Center is an health care organization with primary practice located at 300 S 3Rd W , Soda Springs ID 83276-1559. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Emergency Medical Services is the primary health care specialty. Caribou Medical Center, Inc can be contacted via phone (208) 547-3341, or through Thomas, Christina via phone (208) 547-2765.

Contact Information

Primary practice address
300 S 3Rd W Soda Springs ID 83276-1559
Phone: (208) 547-3341
Fax: (208) 547-2790
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Christina
Phone: (208) 547-2765

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1669533154
LBN Legal business name Caribou Medical Center, Inc
DBA Doing business as Caribou Medical Center
Authorized official Thomas, Christina
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Feb 8th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669533154 NPPES
Idaho MEDICAID 002863200

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