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Contact Information

TETON COUNTY HOSPITAL DISTRICT
625 E BROADWAY AVE
JACKSON, WY83001-8642
 Phone: 307-739-6172
 Fax: 307-739-7698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for TETON COUNTY HOSPITAL DISTRICT

NPI # 1972657179
LBN Legal business name TETON COUNTY HOSPITAL DISTRICT
Authorized official ALISA LANE - (DIRECTOR OF FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/23/2007
Last updated 12/19/2017 - About 8 years ago
Identifiers
WY License # 5201102
WY Medicaid 106299907
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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