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LAKEVIEW MEDICAL CLINIC
NPI 1154524403
Clinic/Center - Rural Health in Soda Springs, ID

Active since June 06, 2007CLIA 13D0966951 · Waiver
300 S 3RD W, SODA SPRINGS, ID 83276(208) 547-3341(208) 547-2790 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeview Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEVIEW MEDICAL CLINIC (NPI 1154524403) is a healthcare organization registered as a rural health in Soda Springs, Idaho and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists John L Hoopes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154524403
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCARIBOU MEMORIAL HOSPITAL
Location Address300 S 3RD WSoda Springs, ID 83276-1559
Mailing Address300 S 3rd WSoda Springs, ID 83276-1559 · (208) 547-3341 · Fax (208) 547-2790
Phone(208) 547-3341
Fax(208) 547-2790
Organization SubpartNo
Authorized OfficialJohn L HoopesCeo · (208) 547-3341
Enumeration DateJune 6, 2007
Last NPPES UpdateDecember 21, 2012
✔ NPI 1154524403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in ID · 37
300 S 3RD W, Soda Springs, ID 83276
Open in Google Maps ↗

Other Names 1

Other NameLakeview Medical Clinic

Other Identifiers 4

Medicaid806721500ID
Other8F975ID · Blue Cross
Medicare ID-Type Unspecified1254707ID
Medicare ID-Type Unspecified138506ID

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D0966951

Lakeview Medical Clinic · Soda Springs, ID
Active · expires Dec 1, 2026
CLIA Number13D0966951
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorJonathan W. Housley
Laboratory Phone(208) 547-3118
Laboratory LocationLakeview Medical Clinic300 S 3rd W Ste A, Soda Springs, ID 83276
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY WRIGHT LMSW
Social Worker
300 S 3RD W
SODA SPRINGS, ID 83276
Caribou County (208) 547-2766
RONALD RUTTEN
Physical Therapist
300 S 3RD W
SODA SPRINGS, ID 83276
Caribou County (208) 547-3341
CARIBOU MEDICAL CENTER, INC
Pharmacy (Institutional Pharmacy)
300 S 3RD W
SODA SPRINGS, ID 83276
Caribou County (208) 547-3341
CARIBOU MEDICAL CENTER, INC
Clinic/Center (Multi-Specialty)
300 S 3RD W
SODA SPRINGS, ID 83276
Caribou County (208) 547-4961
DR. NITA B WEBER DO
Internal Medicine
300 S 3RD W
SODA SPRINGS, ID 83276
Caribou County (208) 547-3118
MR. JOSHUA REED TORMAN CRNA
Nurse Anesthetist, Certified Registered
300 S 3RD W
SODA SPRINGS, ID 83276
Caribou County (208) 547-3341
DR. JONATHAN WALDEN HOUSLEY MD
Family Medicine
300 S 3RD W
SODA SPRINGS, ID 83276
Caribou County (208) 547-4961
AARON CHRISTOPHER HOBBS FNP-C
Nurse Practitioner (Family)
300 S 3RD W
SODA SPRINGS, ID 83276
Caribou County (208) 547-0438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caribou Memorial Hospital's NPI number?

The NPI number for Caribou Memorial Hospital is 1154524403. It was assigned to this organization in the NPPES registry on June 6, 2007. The provider is also known as Lakeview Medical Clinic.

Where is Caribou Memorial Hospital located?

Caribou Memorial Hospital is located at 300 S 3rd W, Soda Springs, ID 83276. The listed phone number is (208) 547-3341.

What is Caribou Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Caribou Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0966951) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Caribou Memorial Hospital was last updated on December 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.