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 |
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| LBN Legal business name | CARIBOU MEDICAL CENTER, INC | ||||
| Authorized official | CHRISTINA THOMAS - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/12/2006 | ||||
| Last updated | 02/08/2022 - About 4 years ago | ||||
| Identifiers |
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