| Organization Name: | CARIBOU MEMORIAL HOSPITAL |
| NPI Number: | 1154524403 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN L HOOPES (CEO) |
| Mailing Address: | 300 S 3rd W Soda Springs |
| State: | ID US |
| Postal Code: | 832761559 |
| Phone Number: | 2085473341 |
| Fax Number: | 2085472790 |
| NPI Enumeration Date: | 06/06/2007 |
| NPI Last Update Date: | 12/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 37 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |