Organization
TETON CANCER INSTITUTE
Active
Parent organization
MOUNTAIN VIEW HOSPITAL
Other names
Teton Cancer Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN VIEW HOSPITAL
Authorized official
MR. NED HILLYARD (CHIEF COMPLIANCE OFFICER)
(208) 557-2711
Entity
Organization
Contact information
Practice address
1957 E 17TH ST, IDAHO FALLS, ID 83404-6429
(208) 523-1100
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 523-1100
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
05/01/2015
Last updated
06/22/2015
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