Organization
TETON COUNTY HOSPITAL DISTRICT
Active
Parent organization
TETON COUNTY HOSPITAL DISTRICT
Other names
St. John's Four Peaks Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TETON COUNTY HOSPITAL DISTRICT
Authorized official
JOHN J. KREN (CFO)
(307) 739-7526
Entity
Organization
Contact information
Practice address
852 VALLEY CENTRE DR, DRIGGS, ID 83422-5005
(208) 354-4757
(307) 354-4758
Mailing address
PO BOX 4010, JACKSON, WY 83001-4010
(307) 739-7391
(307) 739-7549
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
09-179
WY
Other
Enumeration date
11/03/2011
Last updated
08/12/2013
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