Organization
CARIBOU MEDICAL CENTER, INC
Active
Organization
CARIBOU MEDICAL CENTER, INC
Active
Other names
Lakeview Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI HENDERSON (CREDENTIALING SPECIALIST)
(208) 547-0700
Entity
Organization
Contact information
Practice address
300 S 3RD W, SODA SPRINGS, ID 83276-1559
(208) 547-3341
(208) 547-2790
Mailing address
300 S 3RD W, SODA SPRINGS, ID 83276-1559
(208) 547-3341
(208) 547-2790
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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