NPI age
19 years
Enumerated 2007-03-01
● Active Type 2 · Organization
Caribou Medical Center, Inc
Caribou Medical Center, Inc is 1 of 10 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thomas
Ceo
Last NPPES update
2022-02-08
Source: monthly bulk 2026-05
How this organization compares
Across 10 active pharmacy providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
300 S 3rd W
Soda Springs, ID 832761559
Mailing address
300 S 3rd W
Soda Springs, ID 832761559
Authorized official
Christina Thomas
Ceo
📞 2085472765
Individual providers at this organization
12 individual providers on file at this primary practice address.
- Brenda Bergholm, MSN, ACNS-BC Clinical Nurse Specialist NPI 1548493521
- Hunter Goodenough Nurse Practitioner NPI 1629705934
- Jonathan Housley, MD Family Medicine NPI 1457382244
- Gregory Jensen, D.O. Internal Medicine NPI 1558894220
- Ronald Rutten Physical Therapist NPI 1184097271
- Brett Smith, PA-C Physician Assistant NPI 1932180668
- Kevin Smith, DPT Physical Medicine & Rehabilitation NPI 1790244721
- David Telford Physical Therapist NPI 1619509783
- Joshua Torman, CRNA Nurse Anesthetist, Certified Registered NPI 1407000466
- Heidi Walker, PA-C Physician Assistant NPI 1932200391
- Nita Weber, DO Internal Medicine NPI 1366542052
- Ashley Wright, LMSW Social Worker NPI 1154035764
Specialties
-
Pharmacy PrimaryA pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1307520 | NABP NUMBER |
| 01 (ID) | 62439HP | IDAHO STATE BOARD OF PHARMACY |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Caribou Medical Center
-
Caribou Medical Center Pharmacy
Practice context
Multi-provider organization. 12 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.