| Organization Name: | CARIBOU MEMORIAL HOSPITAL |
| NPI Number: | 1912998261 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN HOOPES (CHIEF EXECUTIVE OFFICE) |
| Mailing Address: | 300 S 3rd W Soda Springs |
| State: | ID US |
| Postal Code: | 832761559 |
| Phone Number: | 2085473341 |
| Fax Number: | 2085472790 |
| NPI Enumeration Date: | 11/03/2005 |
| NPI Last Update Date: | 08/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 37 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |