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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