Caribou Memorial Hospital in Soda Springs - Rural Health
Caribou Memorial Hospital - NPI 1154524403
Caribou Memorial Hospital is a Rural Health in Soda Springs, Idaho. Caribou Memorial Hospital practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Caribou Memorial Hospital is 1154524403. The last update date is 2012-12-21.
Caribou Memorial Hospital's current location address is 300 S 3rd W, Soda Springs, Idaho. You can contact this provider via phone number 2085473341 and fax number 2085472790. The mailing address for Caribou Memorial Hospital is 300 S 3rd W, Soda Springs, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Caribou Memorial Hospital |
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Address | 300 S 3rd W, Soda Springs, Idaho |
Phone Number | 2085473341 |
Fax Number | 2085472790 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Hoopes L John |
Telephone Number | 2085473341 |
NPI Number Detail
NPI Number | 1154524403 |
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Provider Enumeration Date | 2007-06-06 |
Last Updated Date | 2012-12-21 |
Provider Mailing Address Detail
Address | 300 S 3rd W |
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City | Soda Springs |
State | Idaho (ID) |
Post Code | 832761559 |
Phone Number | 2085473341 |
Fax Number | 2085472790 |
Provider's Primary Taxonomy Detail
Speciality | Rural Health |
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Taxonomy | 261Qr1300X |
Licence No | 37 |
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
806721500 | ID | -- | |
8F975 | ID | BLUE CROSS |
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What is the Caribou Memorial Hospital's unique identification number?
The Caribou Memorial Hospital has been assigned the NPI (National Provider Identifier) Number 1154524403 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Caribou Memorial Hospital located?
The Caribou Memorial Hospital is located at 300 S 3Rd W, Soda Springs, ID 832761559.
What is the Caribou Memorial Hospital's area of specialization and corresponding taxonomy classification?
The Caribou Memorial Hospital's specialty field is Rural Health, and it falls under the taxonomy code 261Qr1300X, which categorizes healthcare providers based on their specialties.
On what date did the Caribou Memorial Hospital receive the assignment of its 1154524403 from the Centers for Medicare & Medicaid Services?
The Caribou Memorial Hospital was issued its 1154524403 by the Centers for Medicare & Medicaid Services on 2007-06-06.
As of what date were the details related to Caribou Memorial Hospital most recently updated or revised?
The information pertaining to Caribou Memorial Hospital, including its address, specialty, and other relevant details, was last updated or revised on 2012-12-21.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC