NPI age
13 years
Enumerated 2012-12-14
● Active Type 2 · Organization
Caribou Medical Center, Inc
Caribou Medical Center, Inc is 1 of 61 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
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 61 active clinic/center providers in Idaho.
NPI age
13 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-12Enumerated in NPPES
2012
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
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Caribou Medical Center
-
CARIBOU MEDICAL CLINIC
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.