NPI age
19 years
Enumerated 2006-12-12
● Active Type 2 · Organization
Subpart
Caribou Memorial Hospital
Caribou Memorial Hospital is 1 of 20 medicare defined swing bed unit organizations in Idaho.
Primary specialty
Medicare Defined Swing Bed Unit
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hoopes
Chief Executive Officer
Last NPPES update
2008-02-13
Source: monthly bulk 2026-05
How this organization compares
Across 20 active medicare defined swing bed unit providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
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
John Hoopes
Chief Executive Officer
📞 2085473341
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
-
Medicare Defined Swing Bed Unit PrimaryA 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.
Practice context
Multi-provider organization. 12 individual providers on file at this primary address.
Subpart of Caribou Memorial Hospital.
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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.