Organization
TETON VALLEY HEALTH CARE INC
Active
Organization
TETON VALLEY HEALTH CARE INC
Active
Other names
Driggs Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JILL PAYNE (CHIEF OF COMPLIANCE)
(208) 354-6352
Entity
Organization
Contact information
Practice address
283 N 1ST E, DRIGGS, ID 83422-5109
(208) 354-2302
(208) 354-8392
Mailing address
120 E HOWARD ST, DRIGGS, ID 83422-5112
(208) 354-6302
(208) 354-3158
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
ID
207W00000X
Ophthalmology Physician
—
ID
207X00000X
Orthopaedic Surgery Physician
—
ID
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
ID
207Y00000X
Otolaryngology Physician
—
ID
208600000X
Surgery Physician
—
ID
208VP0014X
Interventional Pain Medicine Physician
—
ID
261QR1300X
Rural Health Clinic/Center
Primary
31
ID
363AM0700X
Medical Physician Assistant
—
ID
363LF0000X
Family Nurse Practitioner
—
ID
363LP0200X
Pediatric Nurse Practitioner
—
ID
Other
Enumeration date
08/08/2012
Last updated
02/20/2020
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