NPI Profile for CARIBOU MEDICAL CENTER INC in SODA SPRINGS, ID.
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) |
| 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 |
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|
| Hospital affiliation(s) | Not Available |
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CARIBOU MEDICAL CENTER, INC
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