Organization · Type 2 NPI

Caribou Medical Center, Inc

Emergency Medical Services (Emergency Medicine) Physician · Soda Springs, ID

NPI number 1801086012 Active

Practice location

300 South 3rd West
Soda Springs, ID 83276

Fax (208) 547-2790

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XNone listed

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1801086012

Caribou Medical Center, Inc's National Provider Identifier is 1801086012, issued on Jul 25, 2007. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Soda Springs, ID. The record was last updated on Aug 26, 2026.