| Caribou Medical Center, Inc | |
|
300 S 3rd W Soda Springs ID 83276-1559 | |
| (208) 547-3341 | |
| (208) 547-2790 |
| Full Name | Caribou Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 S 3rd W, Soda Springs, Idaho |
| Authorized Official Name and Position | Sheri Henderson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2085470700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caribou Medical Center, Inc 300 S 3rd W Soda Springs ID 83276-1559 Ph: (208) 547-3341 | Caribou Medical Center, Inc 300 S 3rd W Soda Springs ID 83276-1559 Ph: (208) 547-3341 |
| NPI Number | 1548930878 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Medicare PECOS PAC ID | 7618365701 |
|---|---|
| Medicare Enrollment ID | O20211025002369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548930878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Caribou Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-4961 Fax: 208-547-3781 | |
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Caribou Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 South 3rd West, Soda Springs, ID 83276 Phone: 208-547-3341 Fax: 208-547-2790 |