Organization
CARIBOU MEDICAL CENTER, INC
Active
Organization
CARIBOU MEDICAL CENTER, INC
Active
Other names
Caribou Medical Center, CMC Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KENT LOOSLE (CEO)
(208) 547-3341
Entity
Organization
Contact information
Practice address
300 SOUTH 3RD WEST, SODA SPRINGS, ID 83276
(208) 547-3341
(208) 547-2790
Mailing address
300 SOUTH 3RD WEST, SODA SPRINGS, ID 83276
(208) 547-3341
(208) 547-2790
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2007
Last updated
08/26/2026
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