CARIBOU MEMORIAL HOSPITAL (NPI# 1598825028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598825028 |
| Entity Type | Organization |
| Organization Name | CARIBOU MEMORIAL HOSPITAL |
| Practice Address |
300 S 3rd W Soda Springs ID 83276-1559 |
| Practice Telephone | 2085473341 |
| Practice Fax Number | 2085472790 |
| Mailing Telephone | 2085473341 |
| Mailing Fax Number | 2085472790 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-02-13 |
| Authorized Official Name | JOHN HOOPES (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2085473341 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARIBOU MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 37 | ID | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902330830 | Caribou Memorial Hospital | Counselor | 95 E Hooper Ave, Soda Springs, ID 83276-1414 | 2017-04-18 |
| 1801086012 | Caribou Memorial Hospital | Specialist | 300 South 3rd West, Soda Springs, ID 83276 | 2007-07-25 |
| 1912998261 | Caribou Memorial Hospital | General Acute Care Hospital | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2005-11-03 |
| 1285970582 | Caribou Memorial Hospital | Clinic/Center | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2012-12-14 |
| 1154524403 | Caribou Memorial Hospital | Clinic/Center | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2007-06-06 |
| 1750442240 | Caribou Memorial Hospital | Skilled Nursing Facility | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2006-12-12 |
| 1669533154 | Caribou Memorial Hospital | Emergency Medical Technician, Basic | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2006-12-12 |
| Street Address |
300 S 3RD W |
| City | SODA SPRINGS |
| State | ID |
| Zip Code | 83276-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912998261 | Caribou Memorial Hospital | General Acute Care Hospital | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2005-11-03 |
| 1619509783 | David C Telford | Physical Therapist | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2020-02-06 |
| 1790244721 | Kevin Courtney Smith | Physical Medicine & Rehabilitation | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2019-03-19 |
| 1467901876 | Aaron Christopher Hobbs | Nurse Practitioner | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2016-09-26 |
| 1184097271 | Ronald Rutten | Physical Therapist | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2015-11-11 |
| 1285970582 | Caribou Memorial Hospital | Clinic/Center | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2012-12-14 |
| 1861770414 | Rmc Management, LLC | Surgery | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2011-08-01 |
| 1548493521 | Brenda Bergholm | Clinical Nurse Specialist | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2009-08-25 |
| 1407000466 | Joshua Reed Torman | Nurse Anesthetist, Certified Registered | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2008-11-04 |
| 1235380072 | Edward Rodney Vangass | Social Worker | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2008-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811390248 | Terry Lee Christensen | Physical Therapy Assistant | 279 E. 3rd N., Soda Springs, ID 83276 | 2014-09-30 |
| 1285049387 | Matthew F Kunz | Dentist | 180 S. Main Street, Soda Springs, ID 83276 | 2014-06-26 |
| 1801086012 | Caribou Memorial Hospital | Specialist | 300 South 3rd West, Soda Springs, ID 83276 | 2007-07-25 |
| 1386681427 | Eron J Evans | Dentist | 390 S 3rd W, Mountain View Dental, Soda Springs, ID 83276 | 2006-05-31 |
| 1154310373 | Jerry H Walker | Dentist | 390 South 3rd West, Soda Springs, ID 83276 | 2005-10-20 |
| 1184022105 | Inner Light Counseling, LLC | Social Worker | 61 E 1st S, Soda Springs, ID 83276 | 2014-12-08 |
| 1710158886 | Mountain View Dental Clinic | Clinic/Center | 390 South 3rd West, Soda Springs, ID 83276 | 2008-03-17 |
| 1730240375 | Sharman Kay Snow | Social Worker | 160 N 1st E, Soda Springs, ID 83276-1203 | 2006-12-13 |
| 1609245612 | Craig Harden Richardson | Specialist/Technologist | 366 N 2nd E, Soda Springs, ID 83276-1218 | 2015-09-20 |
| 1417370388 | Saxton Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 269 N 3rd E, Soda Springs, ID 83276-1226 | 2014-01-29 |
| Find all providers in zip 83276 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992913479 | Steele Memorial Medical Center | Medicare Defined Swing Bed Unit | 203 S. Daisy St., Salmon, ID 83467 | 2007-05-18 |
| 1730511254 | St Lukes Magic Valley Regional Medical Center Ltd | Medicare Defined Swing Bed Unit | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2013-08-07 |
| 1710226451 | St Lukes Regional Medical Center | Medicare Defined Swing Bed Unit | 895 N 6th E, Mountain Home, ID 83647-2207 | 2013-01-31 |
| 1043528011 | St Lukes Mccall, Ltd | Medicare Defined Swing Bed Unit | 1000 State St, Mccall, ID 83638-3704 | 2010-09-23 |
| 1689876781 | Bmh Inc | Medicare Defined Swing Bed Unit | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-06-01 |
| 1043429327 | Bingham Memorial Hospital | Medicare Defined Swing Bed Unit | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-05-22 |
| 1700909983 | Walter Knox Memorial Hospital | Medicare Defined Swing Bed Unit | 1202 E Locust St, Emmett, ID 83617-2715 | 2007-04-10 |
| 1275662546 | St Lukes Medical Center Woodriver Ltd | Medicare Defined Swing Bed Unit | 100 Hospital Drive, Ketchum, ID 83340-9999 | 2007-03-05 |
| 1619039732 | Mccall Memorial Hospital | Medicare Defined Swing Bed Unit | 1000 State St, Mccall, ID 83638-3704 | 2006-12-14 |
| 1740341114 | Gooding County Hospital District | Medicare Defined Swing Bed Unit | 1120 Montana St, Gooding, ID 83330-1858 | 2006-12-12 |
| Find all providers with the same taxonomy | ||||
| City | SODA SPRINGS |
| Zip Code | 83276 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.