Organization
TETON VALLEY HEALTH CARE, INC
Active
Organization
TETON VALLEY HEALTH CARE, INC
Active
Other names
Teton Valley Health Care Swing Bed Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL PAYNE (CHIEF OF COMPLIANCE)
(208) 354-6302
Entity
Organization
Contact information
Practice address
120 E HOWARD AVENUE, DRIGGS, ID 83422-5112
(208) 354-2383
(208) 354-3158
Mailing address
120 E HOWARD AVENUE, DRIGGS, ID 83422-5112
(208) 354-2383
(208) 354-3158
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
31
ID
282NC0060X
Critical Access Hospital
31
ID
341600000X
Ambulance
31
ID
Other
Enumeration date
08/15/2012
Last updated
02/20/2020
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