NPI age
20 years
Enumerated 2005-11-03
● Active Type 2 · Organization
Subpart
Caribou Memorial Hospital
Caribou Memorial Hospital is 1 of 55 general acute care hospital organizations in Idaho.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hoopes
Chief Executive Office
Last NPPES update
2013-08-09
Source: monthly bulk 2026-05
How this organization compares
Across 55 active general acute care hospital providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
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 Office
📞 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
-
General Acute Care Hospital PrimaryDefinition to come.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002863100 | |
| 05 (ID) | 002863500 | |
| 01 (ID) | 86934 | BLUE CROSS PHYSICIAN |
| 01 (ID) | 00042 | BLUE CROSS OF IDAHO |
| 05 (ID) | 002863200 |
Practice context
Multi-provider organization. 12 individual providers on file at this primary address.
Subpart of Caribou Memorial Hospital And Living Center.
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