P Praxis·MD
● Active Type 2 · Organization

Caribou Medical Center, Inc

Clinic/Center·Grace, ID· NPI 1841485778 · Enumerated 2007 · 18 years on NPI
Caribou Medical Center, Inc is 1 of 145 clinic/center organizations in Idaho.
NPI age
18 years
Enumerated 2007-09-13
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thomas
Ceo
Last NPPES update
2022-09-13
Source: monthly bulk 2026-05

How this organization compares

Across 145 active clinic/center providers in Idaho.

NPI age
18 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-09Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
114 W 1st S
Grace, ID 832415391
📞 2084253123fax 2085472798
Mailing address
300 S 3rd W
Soda Springs, ID 832761559
📞 2085473341fax 2085472798

Authorized official

Christina Thomas
Ceo
📞 2085472765

Specialties

  • Clinic/Center Primary
    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
    ID license #37 taxonomy 261Q00000X

Other names on file (3)

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

  • Caribou Medical Center
    Type code 3 recorded 2022-02-08
  • Grace Clinic
    Type code 5 recorded 2022-02-08
  • Grace Clinic
    Type code 5 recorded 2008-06-17

Practice context

Single-site organization. Only one practice location on file.

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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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