NPIMap

Organization Active NPI

Caribou Medical Center, Inc

Doing business as Caribou Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Soda Springs, ID
National Provider Identifier
1801086012
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
CARIBOU MEDICAL CENTER, INC
Doing business as
Caribou Medical Center
Practice address
300 South 3Rd West
Soda Springs, ID 83276
Phone
(208) 547-3341
Fax
(208) 547-2790
NPI assigned
Jul 25, 2007
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kent Loosle
Title
Ceo
Phone
(208) 547-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X Primary

Addresses

Primary practice location

300 South 3Rd West
Soda Springs, ID 83276

Mailing address

300 South 3Rd West
Soda Springs, ID 83276
Phone (208) 547-3341

Other names 2

  • Caribou Medical Center Doing business as
  • CMC Specialty Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Caribou Medical Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1801086012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTH 3RD WEST",
            "city": "SODA SPRINGS",
            "state": "ID",
            "postal_code": "83276",
            "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 SOUTH 3RD WEST",
            "city": "SODA SPRINGS",
            "state": "ID",
            "postal_code": "83276",
            "telephone_number": "208-547-3341",
            "fax_number": "208-547-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBOU MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "LOOSLE",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-547-3341"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caribou Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMC Specialty Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Soda Springs, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.