# TETON COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TETON COUNTY HOSPITAL DISTRICT
- **Other names:** St John's Health Sage Living
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215064985
- **Legal business name:** TETON COUNTY HOSPITAL DISTRICT
- **Authorized official:** JEFFREY SOLLIS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (307) 739-7525

## Contact information

- **Practice address:** 625 E BROADWAY AVE BLDG B, JACKSON, WY 83001-8642
- **Practice address phone:** (307) 739-7450
- **Practice address fax:** (307) 739-7344
- **Mailing address:** PO BOX 428, JACKSON, WY 83001-0428
- **Mailing address phone:** (307) 739-7450
- **Mailing address fax:** (307) 739-7344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 11/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 106299901 | — | WY |