Lakeview Medical Clinic

LBN: Caribou Memorial Hospital
Lakeview Medical Clinic is an health care organization with primary practice located at 300 S 3Rd W , Soda Springs ID 83276-1559. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Caribou Memorial Hospital can be contacted via phone (208) 547-3341, or through Hoopes, John L via phone (208) 547-3341.

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: Hoopes, John L
Phone: (208) 547-3341

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 37 Idaho

Profile Details

NPI number 1154524403
LBN Legal business name Caribou Memorial Hospital
DBA Doing business as Lakeview Medical Clinic
Authorized official Hoopes, John L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
Last updated Dec 21st, 2012 - about 13 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 1154524403 NPPES
Idaho MEDICAID 806721500
Idaho Other 8F975

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