# TETON COUNTY HOSPITAL DISTRICT

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

## Provider details

- **NPI number:** 1487818605
- **Legal business name:** TETON COUNTY HOSPITAL DISTRICT
- **Authorized official:** MITCHELL C WATSON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (307) 739-7526

## Contact information

- **Practice address:** 625 E BROADWAY AVE, JACKSON, WY 83001-8642
- **Practice address phone:** (307) 733-3636
- **Practice address fax:** (877) 205-2024
- **Mailing address:** PO BOX 428, JACKSON, WY 83001-0428
- **Mailing address phone:** (307) 733-3636
- **Mailing address fax:** (877) 205-2024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 15109 | WY | Yes |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | — |

## Other

- **Enumeration date:** 07/16/2008
- **Last updated:** 01/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1062999-09 | — | WY |
| 05 | — | 806430200 | — | ID |