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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

NPI Number 1669533154
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
ID Medicaid 002863200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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