TETON VALLEY HOSPITAL & SURGICENTER; NPI #1710959184

Contact Information

TETON VALLEY HOSPITAL & SURGICENTER

120 EAST HOWARD AVENUE
DRIGGS, ID 83422-5112

Phone: 208-354-2383
Fax: 208-354-3158
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Critical Access	282NC0060X	A0[7]	Critical Access Hospital

Indicates primary specialty

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NPI Profile & details for TETON VALLEY HOSPITAL & SURGICENTER

NPI Number 1710959184

LBN Legal business name TETON VALLEY HOSPITAL & SURGICENTER

Authorized official LAURA PIQUET - (QUALITY SERVICES MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/01/2006

Last updated 02/07/2012 - About 14 years ago

Identifiers

ID	License #	31
ID	Medicaid	002279600
MT	Medicaid	4105075
WY	Medicaid	109085200
ID	Other	00273	BLUE CROSS
ID	Other	000010006342	REGENCE BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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