Caribou Memorial Hospital

Organization Active NPI Skilled Nursing Facility · Soda Springs, ID

NPI 1750442240 · NPPES record last updated Feb 13, 2008

Key facts

NPI
1750442240
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
37 (ID)
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
Organization subpart
Yes
Parent organization (as reported)
CARIBOU MEMORIAL HOSPITAL

Authorized official

Name
John Hoopes
Title
Chief Executive Officer
Phone
(208) 547-3341

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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Part of
Caribou Memorial Hospit

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 37 ID Yes

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 providers in Soda Springs, ID

All providers in Soda Springs, ID · Skilled Nursing Facility in Idaho

Sources for this page

Verify at the official NPI Registry.