1. Home
  2. Directory
  3. Idaho
  4. Grace
  5. Clinic Center
  6. NPI Profile

GRACE CLINIC
NPI 1841485778
Clinic/Center in Grace, ID

Active since September 13, 2007CLIA 13D1072371 · Waiver
114 W 1ST S, GRACE, ID 83241(208) 425-3123(208) 547-2798 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2022, Feb 8, 2022 (2 updates tracked since 2022).

About Grace Clinic NPPES

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

GRACE CLINIC (NPI 1841485778), doing business as Caribou Medical Center, is a healthcare organization registered as a clinic/center in Grace, Idaho and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Christina Thomas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841485778
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCARIBOU MEDICAL CENTER, INC
Location Address114 W 1ST SGrace, ID 83241-5391
Mailing Address300 S 3rd WSoda Springs, ID 83276-1559 · (208) 547-3341 · Fax (208) 547-2798
Phone(208) 425-3123
Fax(208) 547-2798
Organization SubpartNo
Authorized OfficialChristina ThomasCeo · (208) 547-2765
Enumeration DateSeptember 13, 2007
Last NPPES UpdateSeptember 13, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1841485778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in ID · 37
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
114 W 1ST S, Grace, ID 83241
Open in Google Maps ↗

Other Names 2

Other NameGrace Clinic
Doing Business AsCaribou Medical Center

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 13D1072371

Grace Clinic · Grace, ID
Active · expires Apr 30, 2027
CLIA Number13D1072371
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorJonathan W. Housley
Laboratory Phone(208) 547-0423
Laboratory LocationGrace Clinic116 N Main St, Grace, ID 83241
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CARIBOU FAMILY DENTAL
Dentist (General Practice)
114 W 1ST S
GRACE, ID 83241
Caribou County (208) 425-3123

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 1841485778. It was assigned to this organization in the NPPES registry on September 13, 2007. The provider is doing business as Caribou Medical Center. The provider is also known as Grace Clinic.

Where is Caribou Medical Center, Inc located?

Caribou Medical Center, Inc is located at 114 W 1st S, Grace, ID 83241. The listed phone number is (208) 425-3123.

What is Caribou Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Caribou Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1072371) is associated with this NPI, valid through April 30, 2027. 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 Medical Center, Inc was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.