| Organization Name: | CARIBOU CO EMS |
| NPI Number: | 1982696449 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARSHA BYBEE (ADMIN ASSISTANT) |
| Mailing Address: | 40 W Center St Soda Springs |
| State: | ID US |
| Postal Code: | 832761531 |
| Phone Number: | 2085472583 |
| Fax Number: | 2085472593 |
| NPI Enumeration Date: | 08/19/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 5604 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |