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Organization

TETON COUNTY HOSPITAL DISTRICT

Active
Parent organization
TETON COUNTY HOSPITAL DISTRICT
Other names
St Johns Hospice
Organization subpart
Yes

Provider details

NPI number
Legal business name
TETON COUNTY HOSPITAL DISTRICT
Authorized official
MITCHELL WATSON (CFO)
(307) 739-7526
Entity
Organization

Contact information

Practice address
555 E BROADWAY AVE, SUITE #115, JACKSON, WY 83001-8640
(307) 739-7465
(307) 739-7645
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-6135
(307) 414-4729

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
15121
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106299916
WY
Enumeration date
07/05/2006
Last updated
02/02/2026
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