CARIBOU MEDICAL CENTER
NPI 1669533154
Emergency Medicine - Emergency Medical Services in Soda Springs, ID
NPI Status: Active since December 12, 2006
Contact Information
300 S 3RD W
SODA SPRINGS, ID
ZIP 83276
Phone: (208) 547-3341
Fax: (208) 547-2790
- Organization
- Emergency Medicine
- Emergency Medical Services
- Accepts Insurance
About CARIBOU MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Caribou Medical Center, a provider established in Soda Springs, Idaho operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1669533154 assigned on December 2006. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Caribou Medical Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Caribou Medical Center. The authorized official of this NPI record is Christina Thomas (Ceo)
- NPI
- 1669533154
- Provider Legal Name
- CARIBOU MEDICAL CENTER, INC
- Other Organization Name
- CARIBOU MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 300 S 3RD W SODA SPRINGS, ID 83276
- Location Phone
- (208) 547-3341
- Location Fax
- (208) 547-2790
- Mailing Address
- 300 S 3RD W SODA SPRINGS, ID 83276
- Mailing Phone
- (208) 547-3341
- Mailing Fax
- (208) 547-2790
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2006
- Last Update Date
- 02-08-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | |
| 2 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
- ACCESS BRONZE HDHP - PPO
- ACCESS GOLD - PPO
- ACCESS GOLD HDHP - PPO
- ACCESS SILVER - PPO
- ACCESS SILVER HDHP - PPO
- Plus Bronze HDHP - PPO
- Plus Gold HDHP - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 002863200 | MEDICAID (05) | ID |
Reviews for CARIBOU MEDICAL CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 5 | 3 | 3 | 1 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 10 | 3 | 6 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 0 + 3 + 6 + 1 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1669533154 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750442240 | CARIBOU MEMORIAL HOSPITAL Organization | Skilled Nursing Facility | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1598825028 | CARIBOU MEMORIAL HOSPITAL Organization | Medicare Defined Swing Bed Unit | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1407000466 | MR. JOSHUA REED TORMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1548493521 | BRENDA BERGHOLM MSN, ACNS-BC Individual | Clinical Nurse Specialist (Adult Health) | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1861770414 | RMC MANAGEMENT, LLC Organization | Surgery | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1154524403 | CARIBOU MEMORIAL HOSPITAL Organization | Clinic/Center (Rural Health) | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1912998261 | CARIBOU MEMORIAL HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1184097271 | RONALD RUTTEN Individual | Physical Therapist | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1790244721 | KEVIN COURTNEY SMITH DPT Individual | Physical Medicine & Rehabilitation | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-2781 |
| 1619509783 | DAVID C TELFORD Individual | Physical Therapist | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-2781 |
| 1548930878 | CARIBOU MEDICAL CENTER, INC Organization | Clinic/Center (Rural Health) | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1730859067 | CARIBOU MEDICAL CENTER, INC. Organization | Medicare Defined Swing Bed Unit | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1942970272 | CARIBOU MEDICAL CENTER, INC Organization | General Acute Care Hospital (Critical Access) | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1184752347 | CARIBOU MEDICAL CENTER, INC Organization | Pharmacy (Institutional Pharmacy) | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1285970582 | CARIBOU MEDICAL CENTER, INC Organization | Clinic/Center (Multi-Specialty) | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-4961 |
| 1558894220 | DR. GREGORY R JENSEN D.O. Individual | Internal Medicine | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1629705934 | HUNTER ANTHONY GOODENOUGH Individual | Nurse Practitioner | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
| 1366542052 | DR. NITA B WEBER DO Individual | Internal Medicine | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3118 |
| 1457382244 | DR. JONATHAN WALDEN HOUSLEY MD Individual | Family Medicine | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-4961 |
| 1902330830 | CARIBOU MEDICAL CENTER, INC. Organization | Counselor (Mental Health) | 300 S 3RD W SODA SPRINGS, ID 83276 (208) 547-3341 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669533154, enumerated in the NPI registry as an "organization" on December 12, 2006
The provider is located at 300 S 3rd W Soda Springs, Id 83276 and the phone number is (208) 547-3341
This medical organization specializes in Emergency Medicine with taxonomy code 207PE0004X with a focus in Emergency Medical Services
The provider might be accepting Accepts: Mountain Health CO-OP, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.