| Caribou Medical Center | |
|
116 S Main Street Grace ID 83241-5391 | |
| (208) 547-0423 | |
| (208) 547-0425 |
| Full Name | Caribou Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 116 S Main Street, Grace, Idaho |
| Authorized Official Name and Position | Kent Loosle (CEO) |
| Authorized Official Contact | 2085473341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caribou Medical Center 300 S 3rd W Soda Springs ID 83276-1559 Ph: (208) 547-3341 | Caribou Medical Center 116 S Main Street Grace ID 83241-5391 Ph: (208) 547-0423 |
| NPI Number | 1841485778 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 08/31/2026 |
| Certification Date | 08/31/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841485778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 37 (Idaho) | Primary |