CARIBOU MEDICAL CENTER, INC
NPI 1548930878
Clinic/Center - Rural Health in Soda Springs, ID
About Caribou Medical Center, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARIBOU MEDICAL CENTER, INC (NPI 1548930878), doing business as Lakeview Medical Clinic, is a healthcare organization registered as a rural health in Soda Springs, Idaho and active in the NPI registry since September 2021. The organization lists Sheri Henderson, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Caribou Medical Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
50Medicare enrollment records show 50 clinicians reassign Medicare billing to Caribou Medical Center, Inc, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 50Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Medical Center, Inc's NPI number?
The NPI number for Caribou Medical Center, Inc is 1548930878. It was assigned to this organization in the NPPES registry on September 17, 2021. The provider is doing business as Lakeview Medical Clinic.
Where is Caribou Medical Center, Inc located?
Caribou Medical Center, Inc is located at 300 S 3rd W, Soda Springs, ID 83276. The listed phone number is (208) 547-3341.
What is Caribou Medical Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Caribou Medical Center, Inc enrolled in Medicare?
Yes. Caribou Medical Center, Inc is registered in the Medicare PECOS enrollment system.
When is Caribou Medical Center, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Idaho, Rural Health Clinic) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Caribou Medical Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 18 Medicare specialties reassign their Medicare billing to Caribou Medical Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (8), Family Practice (8) and Nurse Practitioner (6). Of these, 8 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Caribou Medical Center, Inc was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Caribou Medical Center, Inc · NPI 1548930878
Rural Health organization in Soda Springs, Idaho. Organization record, active in the CMS NPPES registry since September 17, 2021.
## Identity
- **NPI:** 1548930878 (Entity type: Organization)
- **Enumerated:** September 17, 2021
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Lakeview Medical Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sheri Henderson, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 300 S 3RD W, Soda Springs, ID 83276-1559
- **Phone:** (208) 547-3341 · **Fax:** (208) 547-2790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, Idaho, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 50 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (8), Family Practice (8), Nurse Practitioner (6); 8 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1548930878/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1548930878) · Data from the CMS NPPES public registry.