National Provider Identifier Database

CARIBOU MEDICAL CENTER INC
Emergency Medical Services


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
* Emergency Medical Services 207PE0004X
Anatomic Pathology & Clinical Pathology 207ZP0102X
Nurse Anesthetist, Certified Registered 367500000X

* Indicates primary specialty

NPI Profile & details for CARIBOU MEDICAL CENTER, INC

NPI Number 1669533154
Legal business name
LBN
CARIBOU MEDICAL CENTER, INC
Authorized official CHRISTINA THOMAS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 12/12/2006
Last updated 02/08/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 002863200

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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