Organization
TETON OUTPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
150 BUFFALO WAY, JACKSON, WY 83001-2530
(307) 733-8677
(307) 734-7365
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(307) 733-8677
(307) 734-7365
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0713016
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113599600
—
WY
01
—
490004244
RAILROAD MEDICARE
WY
Enumeration date
12/22/2005
Last updated
10/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us