OrganizationActive
Caribou Medical Center, Inc
NPI 1548930878 · Rural Health Clinic/Center · Soda Springs, ID
Provider details
- NPI number
- 1548930878
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sheri Henderson, Credentialing Specialist(208) 547-0700
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
300 S 3rd W
Soda Springs, ID 83276-1559
Phone: (208) 547-3341
Fax: (208) 547-2790
Approximate (ZIP-level) locationGet directions
Mailing address
300 S 3rd W
Soda Springs, ID 83276-1559
Other names (DBA / former)
- Doing business as
- Lakeview Medical Clinic
Registry dates
- Enumerated
- 2021-09-17
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.