CARIBOU MEDICAL CENTER
NPI 1902330830
Counselor - Mental Health in Soda Springs, ID

NPI Status: Active since April 18, 2017

Contact Information

300 S 3RD W
SODA SPRINGS, ID
ZIP 83276
Phone: (208) 547-3341
Fax: (208) 547-2790

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  • Organization
  • Counselor
  • Mental Health
  • CLIA Number: 13D0520487
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 04-15-2027

About CARIBOU MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Caribou Medical Center, a provider established in Soda Springs, Idaho operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1902330830 assigned on April 2017. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Caribou Medical Center. The authorized official of this NPI record is Christina Thomas (Ceo)

NPI
1902330830
Provider Legal Name
CARIBOU MEDICAL CENTER, INC.
Other Organization Name
CARIBOU MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
300 S 3RD W SODA SPRINGS, ID 83276
Location Phone
(208) 547-3341
Location Fax
(208) 547-2790
Mailing Address
300 S 3RD W SODA SPRINGS, ID 83276
Mailing Phone
(208) 547-3341
Mailing Fax
(208) 547-2790
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2017
Last Update Date
10-12-2022
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A mental health counselor like Caribou Medical Center provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTINA THOMAS

Authorized Official Title
CEO
Authorized Official Phone
(208) 547-3341

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D0520487
Facility Type
Hospital
Certificate Effective Date
April 16, 2025
Certificate Expiration Date
April 15, 2027
Laboratory Director
JACOB CLAWSON
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Caribou Medical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902330830, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 6 + 3 + 0 + 8 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1902330830.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Skilled Nursing Facility
300 S 3RD W
SODA SPRINGS, ID 83276
Medicare Defined Swing Bed Unit
300 S 3RD W
SODA SPRINGS, ID 83276
Nurse Anesthetist, Certified Registered
300 S 3RD W
SODA SPRINGS, ID 83276
Clinical Nurse Specialist (Adult Health)
300 S 3RD W
SODA SPRINGS, ID 83276
Surgery
300 S 3RD W
SODA SPRINGS, ID 83276
Clinic/Center (Rural Health)
300 S 3RD W
SODA SPRINGS, ID 83276
General Acute Care Hospital (Critical Access)
300 S 3RD W
SODA SPRINGS, ID 83276
Physical Therapist
300 S 3RD W
SODA SPRINGS, ID 83276
Physical Medicine & Rehabilitation
300 S 3RD W
SODA SPRINGS, ID 83276
Physical Therapist
300 S 3RD W
SODA SPRINGS, ID 83276
Clinic/Center (Rural Health)
300 S 3RD W
SODA SPRINGS, ID 83276
Medicare Defined Swing Bed Unit
300 S 3RD W
SODA SPRINGS, ID 83276
General Acute Care Hospital (Critical Access)
300 S 3RD W
SODA SPRINGS, ID 83276
Pharmacy (Institutional Pharmacy)
300 S 3RD W
SODA SPRINGS, ID 83276
Clinic/Center (Multi-Specialty)
300 S 3RD W
SODA SPRINGS, ID 83276
Emergency Medicine (Emergency Medical Services)
300 S 3RD W
SODA SPRINGS, ID 83276
Internal Medicine
300 S 3RD W
SODA SPRINGS, ID 83276
Nurse Practitioner
300 S 3RD W
SODA SPRINGS, ID 83276
Internal Medicine
300 S 3RD W
SODA SPRINGS, ID 83276
Family Medicine
300 S 3RD W
SODA SPRINGS, ID 83276

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902330830, enumerated as an "organization" on April 18, 2017.

The provider is located at 300 S 3RD W SODA SPRINGS, ID 83276 and the phone number is (208) 547-3341.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.