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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

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CARIBOU MEDICAL CENTER, INC

NPI Number 1184752347
LBN Legal business name CARIBOU MEDICAL CENTER, INC
Authorized official CHRISTINA THOMAS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2007
Last updated 02/08/2022 - About 4 years ago
Identifiers
ID Other 62439HP IDAHO STATE BOARD OF PHARMACY
ID Other 1307520 NABP NUMBER
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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