# TETON COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Johns Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881896694
- **Authorized official:** MS. KELLY S CLASEN (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (307) 739-7559

## Contact information

- **Practice address:** 625 EAST BROADWAY, JACKSON, WY 83001
- **Practice address phone:** (307) 733-3636
- **Practice address fax:** (307) 739-7522
- **Mailing address:** PO BOX 428, JACKSON, WY 83001
- **Mailing address phone:** (307) 733-3636
- **Mailing address fax:** (307) 739-7522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 07109 | WY | Yes |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 06/06/2008