# TETON COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St John's Medical Center/ or St John's Health, St. John's Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801835475
- **Authorized official:** MITCHELL WATSON (CFO)
- **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 |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 15109 | WY | — |
| 282N00000X | General Acute Care Hospital | 15109 | WY | Yes |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 11/25/2025
