Organization
CARIBOU MEDICAL CENTER, INC.
Active
Organization
CARIBOU MEDICAL CENTER, INC.
Active
Other names
Caribou Medical Center Swing Bed
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
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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