P Praxis·MD
● Active Type 2 · Organization

Caribou Medical Center, Inc

Emergency Medicine·Soda Springs, ID· NPI 1669533154 · Enumerated 2006 · 19 years on NPI
Caribou Medical Center, Inc is 1 of 22 emergency medicine organizations in Idaho.
NPI age
19 years
Enumerated 2006-12-12
Primary specialty
Emergency Medicine
Plus 2 secondary
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 22 active emergency medicine providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 36% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
300 S 3rd W
Soda Springs, ID 832761559
📞 2085473341fax 2085472790
Mailing address
300 S 3rd W
Soda Springs, ID 832761559
📞 2085473341fax 2085472790

Authorized official

Christina Thomas
Ceo
📞 2085472765

Individual providers at this organization

12 individual providers on file at this primary practice address.

Specialties

  • Emergency Medicine Primary
    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.
    taxonomy 207PE0004X
  • Nurse Anesthetist, Certified Registered
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    taxonomy 367500000X
  • Pathology
    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
    taxonomy 207ZP0102X

Identifiers

TypeValueNotes
05 (ID) 002863200

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Caribou Medical Center
    Type code 3 recorded 2022-02-08
  • Caribou Medical Center Professional
    Type code 5 recorded 2022-02-08

Practice context

Multi-provider organization. 12 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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