Active NPI
Caribou Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Soda Springs, ID
National Provider Identifier
1598825028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 37
- Legal business name
- CARIBOU MEMORIAL HOSPITAL
- Practice address
- 300 S 3Rd W
Soda Springs, ID 83276-1559 - Phone
- (208) 547-3341
- Fax
- (208) 547-2790
- NPI assigned
- Dec 12, 2006
- Last updated
- Feb 13, 2008
- Organization subpart
- Yes
- Parent organization
- CARIBOU MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Hoopes
- Title
- Chief Executive Officer
- Phone
- (208) 547-3341
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 37 | ID | Primary |
Addresses
Primary practice location
300 S 3Rd W
Soda Springs, ID 83276-1559
Mailing address
300 S 3Rd W
Soda Springs, ID 83276-1559
Phone (208) 547-3341
National Provider Directory
National Provider Directory- Part of
- Caribou Memorial Hospital
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Rural Health Clinic/Center
- Soda Springs, ID
- NPI 1154524403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202860800000",
"number": "1598825028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S 3RD W",
"city": "SODA SPRINGS",
"state": "ID",
"postal_code": "832761559",
"telephone_number": "208-547-3341",
"fax_number": "208-547-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S 3RD W",
"city": "SODA SPRINGS",
"state": "ID",
"postal_code": "832761559",
"telephone_number": "208-547-3341",
"fax_number": "208-547-2790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARIBOU MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARIBOU MEMORIAL HOSPITAL",
"enumeration_date": "2006-12-12",
"last_updated": "2008-02-13",
"status": "A",
"authorized_official_last_name": "HOOPES",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "208-547-3341"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "ID",
"license": "37",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soda Springs, ID
- Caribou Medical Center, Inc (Caribou Medical Center)
- Caribou Medical Center, Inc (Caribou Medical Center)
- Caribou Medical Center, Inc. (Caribou Medical Center Swing Bed)
- Caribou Medical Center, Inc. (Caribou Medical Center)
- Caribou Memorial Hospital
- Caribou Memorial Hospital
- Caribou Memorial Hospital
- Preston Boyd Christensen, MD
- Terry Lee Christensen, LMT
- Patricia Conner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.