National Provider Identifier Database

CARIBOU MEMORIAL HOSPITAL
Rural Health


Contact Information

CARIBOU MEMORIAL HOSPITAL
300 S 3RD W
SODA SPRINGS, ID83276-1559
Phone: 208-547-3341
Fax: 208-547-2790
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for CARIBOU MEMORIAL HOSPITAL

NPI Number 1154524403
Legal business name
LBN
CARIBOU MEMORIAL HOSPITAL
Authorized official JOHN HOOPES - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/06/2007
Last updated 12/21/2012 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 37
  • ID Medicaid: 806721500
  • ID Other: 8F975 BLUE CROSS

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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