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CAH131309-00 CARIBOU MEDICAL CENTER (Active)
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Main Details
Name
CARIBOU MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH131309-00
Medicare Provider Number
131309
Additional Details
Current Program Status
Active
Registration Date
12/1/2010
Participating Start Date
4/1/2011
Participating Approval Date
1/31/2011
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Caribou Medical Center
Ryan D Speas, CFO
(208) 506-5785
Primary Contact
CARIBOU MEDICAL CENTER
Dillon Liechty, Interim CEO/COO
(208) 221-5154
Addresses
Street Address
300 SOUTH 3RD WEST
SODA SPRINGS, ID 83276
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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