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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 Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for CARIBOU MEMORIAL HOSPITAL

NPI # 1154524403
LBN Legal business name CARIBOU MEMORIAL HOSPITAL
Authorized official JOHN HOOPES - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2007
Last updated 12/21/2012 - About 13 years ago
Identifiers
ID License # 37
ID Medicaid 806721500
ID Other 8F975 BLUE CROSS
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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