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Caribou Medical Center, Inc

Organization Active NPI Emergency Medical Services (Emergency Medicine) Physician · Soda Springs, ID

NPI 1669533154 · NPPES record last updated Aug 26, 2026

Key facts

NPI
1669533154
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
Legal business name
CARIBOU MEDICAL CENTER, INC
Practice address
300 S 3Rd W
Soda Springs, ID 83276-1559
Phone
(208) 547-3341
Fax
(208) 547-2790
NPI assigned
Dec 12, 2006
Organization subpart
No

Authorized official

Name
Christina Thomas
Title
Ceo
Phone
(208) 547-2765

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Caribou Medical Center Inc (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207PE0004X Yes
Anatomic Pathology & Clinical Pathology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207ZP0102X
Certified Registered Nurse Anesthetist
Group: 193200000X MULTI-SPECIALTY GROUP		 367500000X

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

Other identifiers

IdentifierTypeStateIssuer
002863200MedicaidID

Other names

  • Caribou Medical Center Doing business as
  • Caribou Medical Center Professional Other name

Other providers in Soda Springs, ID

All providers in Soda Springs, ID · Emergency Medical Services (Emergency Medicine) Physician in Idaho

Sources for this page

Verify at the official NPI Registry.