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CARIBOU MEDICAL CENTER, INC.

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Company Details

Name: CARIBOU MEDICAL CENTER, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 08 Mar 2021 (4 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 4202563
Place of Formation: IDAHO
File Number: 751690
ZIP code: 83276
County: Caribou County
Mailing Address: 300 S 3RD W SODA SPRINGS, ID 83276-1559

Agent

Name Role Address
BECKY BYBEE Agent 300 S 3RD W, SODA SPRINGS, ID 83276

Director

Name Role Address Appointed On Resigned On
Craig Mansfield Director 300 S 3RD WEST, SODA SPRINGS, ID 83276 2022-03-01 No data
Charlene McCulloch Director 300 S 3RD W, SODA SPRINGS, ID 83276 2024-02-05 No data
Stephanie Rindlisbaker Director 300 S 3RD W, SODA SPRINGS, ID 83276 2024-02-05 No data
Curtis Toone Director 310 SOUTH MAIN STREET, GRACE, ID 83241 2024-02-05 2024-02-05
Lorraine Myers Director 300 S 3RD WEST, SODA SPRINGS, ID 83276 2024-02-05 2024-02-05
Wes Brown Director 300 S 3RD WEST, SODA SPRINGS, ID 83276 2024-02-05 2024-02-05

President

Name Role Address Appointed On
Kent Loosle President 300 S 3RD W, SODA SPRINGS, ID 83276 2024-02-05

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
K2UAPLC4EK27
UEI Expiration Date:
2025-08-28

Business Information

Division Name:
CARIBOU MEDICAL CENTER
Activation Date:
2024-08-30
Initial Registration Date:
2022-03-14

National Provider Identifier

NPI Number:
1942970272
Certification Date:
2021-09-17

Authorized Person:

Name:
SHERI HENDERSON
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
282NC0060X - Critical Access Hospital
Is Primary:
Yes

Contacts:

Fax:
2085472790

Filing

Filing Name Filing Number Filing date
Annual Report 0006088225 2025-02-03
Annual Report 0005584039 2024-02-05
Annual Report 0005096527 2023-02-06
Annual Report 0004626128 2022-03-01
Initial Filing 0004202563 2021-03-08

Tax Exempt

Employer Identification Number (EIN) :
86-3190906
In Care Of Name:
% CHRIS THOMAS
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2021-09
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 19 May 2025

Sources: Idaho Secretary of State