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Contact Information

CARIBOU MEDICAL CENTER, INC
300 S 3RD W
SODA SPRINGS, ID83276-1559
 Phone: 208-547-3341
 Fax: 208-547-2790
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for CARIBOU MEDICAL CENTER INC · (Female)

NPI Number 1669533154
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2006
Last updated 02/08/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID Medicaid 002863200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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