NPIMap

Organization Active NPI

Caribou Medical Center, Inc

Doing business as Caribou Medical Center

  • Clinic/Center
  • Grace, ID
National Provider Identifier
1841485778
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
37 Issued in ID
Legal business name
CARIBOU MEDICAL CENTER, INC
Doing business as
Caribou Medical Center
Practice address
116 S Main Street
Grace, ID 83241-5391
Phone
(208) 547-0423
Fax
(208) 547-0425
NPI assigned
Sep 13, 2007
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 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
Clinic/Center 261Q00000X 37 ID Primary

Addresses

Primary practice location

116 S Main Street
Grace, ID 83241-5391

Mailing address

300 S 3Rd W
Soda Springs, ID 83276-1559
Phone (208) 547-3341

Other names 2

  • Caribou Medical Center Doing business as
  • Grace Clinic Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D1072371Grace Clinic116 N Main St, Grace, ID 83241Certificate of waiverApr 30, 2027

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.

Locations

116 S Main St
Grace, ID 83241

300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1841485778",
    "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": "208-547-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MAIN STREET",
            "city": "GRACE",
            "state": "ID",
            "postal_code": "832415391",
            "telephone_number": "208-547-0423",
            "fax_number": "208-547-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBOU MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": "37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caribou Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Grace Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grace, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.