CARIBOU MEDICAL CENTER – NPI #1669533154
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Health Care Provider Taxonomy Code for Emergency Medicine

CARIBOU MEDICAL CENTER is a provider located in SODA SPRINGS, ID. NPPES has assigned the NPI number 1669533154 to CARIBOU MEDICAL CENTER on December 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CARIBOU MEDICAL CENTER” is a dba name, the actual legal business name for this organization is CARIBOU MEDICAL CENTER, INC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 4 years ago on Feb 08, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARIBOU MEDICAL CENTER below.

NPI Profile for
CARIBOU MEDICAL CENTER, INC

NPI Number
1669533154
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARIBOU MEDICAL CENTER, INC
Doing Business As (dba): CARIBOU MEDICAL CENTER
Other name(s)
All associated names:
Doing Business As (dba)
CARIBOU MEDICAL CENTER
Other Name
Caribou Medical Center Professional
Primary location
300 S 3RD W
SODA SPRINGS, ID 83276-1559
Phone: (208) 547-3341 Fax: (208) 547-2790
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTINA THOMAS
CEO
Phone: (208) 547-2765
Updated
Certification Date
Feb 08, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CARIBOU MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID002863200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0004X
- Emergency Medicine / Emergency Medical Services (Primary)
367500000X
- Nurse Anesthetist, Certified Registered
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.