National Provider Identifier Database

TETON VALLEY HOSPITAL SURGICENTER
Critical Access


Contact Information

TETON VALLEY HOSPITAL & SURGICENTER
120 EAST HOWARD AVENUE
DRIGGS, ID83422-5112
Phone: 208-354-2383
Fax: 208-354-3158
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X

* Indicates primary specialty

NPI Profile & details for TETON VALLEY HOSPITAL & SURGICENTER

NPI Number 1962664029
Legal business name
LBN
TETON VALLEY HOSPITAL & SURGICENTER
Authorized official LAURA PIQUET - (OPERATION MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/30/2008
Last updated 12/01/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 31
  • ID Medicaid: 002279600
  • ID Other: 13Z313 MEDICARE SWING BED

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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