Organization
CARIBOU MEDICAL CENTER, INC
Active
Organization
CARIBOU MEDICAL CENTER, INC
Active
Other names
Grace Clinic, Caribou Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENT LOOSLE (CEO)
(208) 547-3341
Entity
Organization
Contact information
Practice address
114 W 1ST S, GRACE, ID 83241-5391
(208) 425-3123
(208) 547-2798
Mailing address
300 S 3RD W, SODA SPRINGS, ID 83276-1559
(208) 547-3341
(208) 547-2798
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
37
ID
Other
Enumeration date
09/13/2007
Last updated
08/26/2026
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