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  • 135060
CCN: 135060 NPI: 1750442240 Organization

CARIBOU MEMORIAL LIVING CENTER

300 S 3RD W
SODA SPRINGS, ID 832761559

Contact Information

  • Phone 2085473341
  • Fax 2085472790
  • Enumeration Date 2006-12-12
  • Last Updated 2008-02-13

Taxonomies

  • Code: 314000000X (Primary) License State: ID License: 37

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 1.0
censusDivision 8
cbsaActualGeographicLocation 13
providerType 38
vbpAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00
cbsaActualGeographicLocation 13
providerType 38
specialPaymentIndicator
carrierCode 02202
localityCode 00

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