# TETON VALLEY HEALTH CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TVHC Physicians' Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316294531
- **Authorized official:** MRS. JILL PAYNE (DIRECTOR OF RISK AND COMPLIANCE)
- **Authorized official phone:** (208) 354-6302

## Contact information

- **Practice address:** 120 E HOWARD ST, DRIGGS, ID 83422-5112
- **Practice address phone:** (208) 354-6302
- **Practice address fax:** (208) 354-3158
- **Mailing address:** 120 E HOWARD ST, DRIGGS, ID 83422-5112
- **Mailing address phone:** (208) 354-6302
- **Mailing address fax:** (208) 354-3158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 31 | ID | — |
| 207Q00000X | Family Medicine Physician | 31 | ID | Yes |
| 207X00000X | Orthopaedic Surgery Physician | 31 | ID | — |
| 208600000X | Surgery Physician | 31 | ID | — |
| 208M00000X | Hospitalist Physician | 31 | ID | — |
| 208VP0014X | Interventional Pain Medicine Physician | 31 | ID | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 363AM0700X | Medical Physician Assistant | 31 | ID | — |
| 363LF0000X | Family Nurse Practitioner | 31 | ID | — |

## Other

- **Enumeration date:** 08/07/2012
- **Last updated:** 08/19/2024